Ideal Chiropractic is a
Chiropractor based in Random Lake, Wisconsin. Ideal Chiropractic is licensed to practice in Wisconsin (license number 4044012) and their current practice location is
321 Carroll Street, Random Lake, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(920) 994-2000.
NPI number for Ideal Chiropractic is 1659551547 and their current mailing address is Po Box 196, 321 Carroll Street, Random Lake, Wisconsin. Ideal Chiropractic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1659551547.
Healthcare Provider's Profile
Full Name | Ideal Chiropractic |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 321 Carroll Street, Random Lake, 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: 1659551547
- Provider Enumeration Date: 11/07/2007
- Last Update Date: 11/07/2007
Medical Identifiers
Medical identifiers for Ideal Chiropractic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659551547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 4044012 (Wisconsin) | 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. Ideal Chiropractic 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 |
Ideal Chiropractic Po Box 196, 321 Carroll Street, Random Lake, WI 53075-1795 Ph: (920) 994-2000 | Ideal Chiropractic 321 Carroll Street, Random Lake, WI 53075-1795 Ph: (920) 994-2000 |
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