Healthsource Of Green Bay Llc is a
Chiropractor based in Greenbay, Wisconsin. Healthsource Of Green Bay Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
1743 East Mason St, Greenbay, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(920) 486-4755.
NPI number for Healthsource Of Green Bay Llc is 1528372604 and their current mailing address is 106 S Chestnut Ave, Marshfield, Wisconsin. Healthsource Of Green Bay Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1528372604.
Healthcare Provider's Profile
Full Name | Healthsource Of Green Bay Llc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 1743 East Mason St, Greenbay, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528372604
- Provider Enumeration Date: 08/02/2010
- Last Update Date: 08/02/2010
Medical Identifiers
Medical identifiers for Healthsource Of Green Bay Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528372604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Healthsource Of Green Bay Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Healthsource Of Green Bay Llc 106 S Chestnut Ave, Marshfield, WI 54449 Ph: (715) 384-9064 | Healthsource Of Green Bay Llc 1743 East Mason St, Greenbay, WI 54302-3251 Ph: (920) 486-4755 |
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