| Spine By Design Chiropractic Center, Inc. | |
|
W188s7830 Racine Ave Ste 100, Muskego, WI 53150-8298 | |
| (262) 349-0845 | |
| Not Available |
| Full Name | Spine By Design Chiropractic Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | W188s7830 Racine Ave Ste 100, Muskego, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821428756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4955-12 (Wisconsin) | Primary |
| Provider Name | Nicholas Andrew Albert |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215366240 PECOS PAC ID: 2567699234 Enrollment ID: I20140103000194 |
| Mailing Address | Practice Location Address |
|---|---|
| Spine By Design Chiropractic Center, Inc. W188s7830 Racine Ave Ste 100, Muskego, WI 53150-8298 Ph: (262) 349-0845 | Spine By Design Chiropractic Center, Inc. W188s7830 Racine Ave Ste 100, Muskego, WI 53150-8298 Ph: (262) 349-0845 |
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