Shell Lake Cumberland Chiropractic Clinics Llc | |
17 5th Ave, Shell Lake, WI 54871-5487 | |
(715) 468-2275 | |
Not Available |
Full Name | Shell Lake Cumberland Chiropractic Clinics Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 17 5th Ave, Shell Lake, 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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1023786324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Mark A Murray |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1255439444 PECOS PAC ID: 7113963240 Enrollment ID: I20050630000135 |
Provider Name | Jimmy A Reidt |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1508910514 PECOS PAC ID: 9739348400 Enrollment ID: I20120316000046 |
Provider Name | Brenda L Joyce Reidt |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1699829606 PECOS PAC ID: 7911166681 Enrollment ID: I20120316000070 |
Mailing Address | Practice Location Address |
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Shell Lake Cumberland Chiropractic Clinics Llc Po Box 637, Shell Lake, WI 54871-0637 Ph: (715) 468-2275 | Shell Lake Cumberland Chiropractic Clinics Llc 17 5th Ave, Shell Lake, WI 54871-5487 Ph: (715) 468-2275 |
Shell Lake Cumberland Chiropractic Clinics Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 17 5th Ave, Shell Lake, WI 54871 Phone: 715-468-2275 | |
Dr. Jimmy A Reidt, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 17 5th Ave, Shell Lake, WI 54871 Phone: 715-468-2275 | |
Dr. Brenda L Joyce-reidt, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 17 5th Ave, Shell Lake, WI 54871 Phone: 715-468-2275 |