Schupp Chiropractic And Sports Injuries Llc | |
2110 Fordem Ave, Madison, WI 53704-4610 | |
(608) 244-7447 | |
Not Available |
Full Name | Schupp Chiropractic And Sports Injuries Llc |
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Type | Facility |
Speciality | Chiropractor - Orthopedic |
Location | 2110 Fordem Ave, Madison, 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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1982941399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111NX0800X | Chiropractor - Orthopedic | 4908-12 (Wisconsin) | Primary |
Provider Name | Andrew C Schupp |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1639415698 PECOS PAC ID: 1658516448 Enrollment ID: I20130327000300 |
Provider Name | Jesse Dylan Easley |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1275075558 PECOS PAC ID: 9032490248 Enrollment ID: I20161230001081 |
Mailing Address | Practice Location Address |
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Schupp Chiropractic And Sports Injuries Llc 2110 Fordem Ave, Madison, WI 53704-4610 Ph: (608) 244-7447 | Schupp Chiropractic And Sports Injuries Llc 2110 Fordem Ave, Madison, WI 53704-4610 Ph: (608) 244-7447 |
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