Mr Jeremy L Bria, DC | |
450 Mill St, Suite 102, Fontana, WI 53125-1242 | |
(262) 275-5005 | |
(262) 275-5004 |
Full Name | Mr Jeremy L Bria |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 450 Mill St, Fontana, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669531885 | NPI | - | NPPES |
38966200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4188-012 (Wisconsin) | Primary |
Provider Name | Jlb,inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306045315 PECOS PAC ID: 2860409208 Enrollment ID: O20060309000671 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeremy L Bria, DC 450 Mill St, Suite 102, Fontana, WI 53125-1242 Ph: (262) 275-5005 | Mr Jeremy L Bria, DC 450 Mill St, Suite 102, Fontana, WI 53125-1242 Ph: (262) 275-5005 |
Fontana Family Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 450 Mill St, Suite 102, Fontana, WI 53125 Phone: 262-275-5005 | |
Wilson Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 450 Mill St, Fontana, WI 53125 Phone: 262-373-9024 | |
Dr. Nicholas James Wilson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 450 Mill St Ste 102, Fontana, WI 53125 Phone: 262-275-5005 |