| Pro Health Chiropractic Llc | |
|
1777 W Main St Ste 107, Sun Prairie, WI 53590-3100 | |
| (608) 318-2410 | |
| (608) 318-2412 |
| Full Name | Pro Health Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1777 W Main St Ste 107, Sun Prairie, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669630562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038010988 (Wisconsin) | Primary |
| Provider Name | Robert L Cadwallader |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093709305 PECOS PAC ID: 6103845912 Enrollment ID: I20080917000413 |
| Provider Name | Jaclyn M Ehl |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073095949 PECOS PAC ID: 9739412669 Enrollment ID: I20190610000604 |
| Provider Name | Kyle T Moore |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235711011 PECOS PAC ID: 9335548429 Enrollment ID: I20210521001007 |
| Provider Name | Sophia Cadwallader |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275267296 PECOS PAC ID: 8325421217 Enrollment ID: I20220809003962 |
| Provider Name | Zachary Charles Groff |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518689454 PECOS PAC ID: 4789060567 Enrollment ID: I20220930002739 |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Health Chiropractic Llc 1777 W Main St Ste 107, Sun Prairie, WI 53590-3100 Ph: (608) 318-2410 | Pro Health Chiropractic Llc 1777 W Main St Ste 107, Sun Prairie, WI 53590-3100 Ph: (608) 318-2410 |
Nathaniel Alan Drees, DC, CSCS Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 414 W Main St, Sun Prairie, WI 53590 Phone: 608-514-1842 | |
Logan Georgeson, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 242 E Main St, Sun Prairie, WI 53590 Phone: 608-318-2713 | |
Jeffrey R Lyne, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1633 W Main St, Sun Prairie, WI 53590 Phone: 608-837-7712 Fax: 608-825-6638 | |
Judith A Davis, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1280 W. Main St. Ste 121, Sun Prairie, WI 53590 Phone: 608-241-2004 Fax: 608-318-0859 | |
Bruce Carl Nordhagen, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 715 West Main Street, Bakke Chiropractic Clinic Sc, Sun Prairie, WI 53590 Phone: 608-837-7600 Fax: 608-837-0633 | |
Sara M Kirkman, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1633 W Main St, Sun Prairie, WI 53590 Phone: 608-837-7712 Fax: 608-825-6638 | |
Dr. Robert L Cadwallader, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1777 W Main St Ste 107, Sun Prairie, WI 53590 Phone: 608-318-2410 Fax: 608-318-2412 |