Long Chiropractic Center Sc | |
406 South Howard Street, Wittenberg, WI 54499 | |
(715) 253-2239 | |
(715) 253-3331 |
Full Name | Long Chiropractic Center Sc |
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Type | Facility |
Speciality | Chiropractor |
Location | 406 South Howard Street, Wittenberg, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1720478183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 477212 (Wisconsin) | Primary |
Provider Name | Casey J Long |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1174812473 PECOS PAC ID: 7810173218 Enrollment ID: I20110916000316 |
Provider Name | Robert Devine |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1609416551 PECOS PAC ID: 1355772450 Enrollment ID: I20200505001113 |
Mailing Address | Practice Location Address |
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Long Chiropractic Center Sc W17314 Maple Rd, Wittenberg, WI 54499-8553 Ph: (715) 881-1411 | Long Chiropractic Center Sc 406 South Howard Street, Wittenberg, WI 54499 Ph: (715) 253-2239 |
Below Chiropractic Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 406 S Howard St, Wittenberg, WI 54499 Phone: 715-253-2239 Fax: 715-253-3331 | |
Mikayla Danielle Kriha, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 500 W College Ave, Wittenberg, WI 54499 Phone: 715-253-2239 |