Red Cedar Chiropractic, Llc | |
2321 Hwy 25 N., #6, Menomonie, WI 54751 | |
(715) 231-4994 | |
(715) 231-2099 |
Full Name | Red Cedar Chiropractic, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 2321 Hwy 25 N., Menomonie, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063563971 | NPI | - | NPPES |
PENDING | Medicaid | WI | |
38732500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3995-012 (Wisconsin) | Primary |
111N00000X | Chiropractor | 3925-012 (Wisconsin) | Secondary |
Provider Name | Nora R Moses |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1962439430 PECOS PAC ID: 5991797458 Enrollment ID: I20040405000933 |
Provider Name | Clint P Moses |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1528095601 PECOS PAC ID: 0547252009 Enrollment ID: I20040405001015 |
Mailing Address | Practice Location Address |
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Red Cedar Chiropractic, Llc 2321 Hwy 25 N., #6, Menomonie, WI 54751 Ph: (715) 231-4994 | Red Cedar Chiropractic, Llc 2321 Hwy 25 N., #6, Menomonie, WI 54751 Ph: (715) 231-4994 |
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