Chiropractic Company - Greenfield West Llc | |
3823 S 108th St, Greenfield, WI 53228-1336 | |
(414) 327-6400 | |
Not Available |
Full Name | Chiropractic Company - Greenfield West Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 3823 S 108th St, Greenfield, 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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1083660625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3725 (Wisconsin) | Primary |
Provider Name | Richard L Hruby |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1306011218 PECOS PAC ID: 6103904347 Enrollment ID: I20080429000118 |
Provider Name | Benjamin Carl Anderson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1710384060 PECOS PAC ID: 2062735608 Enrollment ID: I20150106001892 |
Mailing Address | Practice Location Address |
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Chiropractic Company - Greenfield West Llc 3823 S 108th St, Greenfield, WI 53228-1336 Ph: (414) 327-6400 | Chiropractic Company - Greenfield West Llc 3823 S 108th St, Greenfield, WI 53228-1336 Ph: (414) 327-6400 |
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