Jamie L Mabeus, DC | |
2835 N Grandview Blvd Ste 200, Pewaukee, WI 53072-5546 | |
(262) 395-4015 | |
Not Available |
Full Name | Jamie L Mabeus |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 12 Years |
Location | 2835 N Grandview Blvd Ste 200, Pewaukee, Wisconsin |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851732135 | NPI | - | NPPES |
1851732135 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4937-012 (Wisconsin) | Primary |
Provider Name | Full Motion Family Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891123741 PECOS PAC ID: 3577792134 Enrollment ID: O20140131001705 |
Mailing Address | Practice Location Address |
---|---|
Jamie L Mabeus, DC 2835 N Grandview Blvd Ste 200, Pewaukee, WI 53072-5546 Ph: (262) 395-4015 | Jamie L Mabeus, DC 2835 N Grandview Blvd Ste 200, Pewaukee, WI 53072-5546 Ph: (262) 395-4015 |
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