| Sports & Family Chiropractic Llc | |
|
6123 Green Bay Road, Ste 140, Kenosha, WI 53142 | |
| (262) 653-9208 | |
| Not Available |
| Full Name | Sports & Family Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6123 Green Bay Road, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578889242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4600-012 (Wisconsin) | Secondary |
| 111N00000X | Chiropractor | 4598-012 (Wisconsin) | Primary |
| Provider Name | Chad E Sloden |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720303332 PECOS PAC ID: 4082894860 Enrollment ID: I20110210001122 |
| Provider Name | Nicholas Joseph Hollendonner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962910968 PECOS PAC ID: 7719249820 Enrollment ID: I20180328002865 |
| Mailing Address | Practice Location Address |
|---|---|
| Sports & Family Chiropractic Llc 6123 Green Bay Road, Ste 140, Kenosha, WI 53142 Ph: (262) 653-9208 | Sports & Family Chiropractic Llc 6123 Green Bay Road, Ste 140, Kenosha, WI 53142 Ph: (262) 653-9208 |
Dr. Walter Rudolph Wiesztort, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4014 77th St, Ste. 2, Kenosha, WI 53142 Phone: 262-694-3530 Fax: 262-925-8810 | |
Dr. Kristopher Wyllis Peterson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5703 75th St, Kenosha, WI 53142 Phone: 262-697-1363 Fax: 262-697-1388 | |
Dr. Amy L Foerster, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 11300 75th St, Kenosha, WI 53142 Phone: 262-909-1039 Fax: 262-843-8218 | |
Dr. Daniel Charles Esposito, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1024 60th St, Suite 1, Kenosha, WI 53140 Phone: 262-657-7744 Fax: 262-657-7753 | |
Dr. William Todd Hendrick, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6824 103rd Ave, Kenosha, WI 53142 Phone: 262-948-8182 | |
Wiesztort Family Chiropractic Clinic, S.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 4014 77th St Ste 2, Kenosha, WI 53142 Phone: 262-694-3530 Fax: 262-925-8810 | |
Absolute Chiropractic & Wellness Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 11300 75th St, Suite E, Kenosha, WI 53142 Phone: 262-909-1039 |