Travis Malott, DC | |
E101 4th Street, Brodhead, WI 53520-2003 | |
(608) 897-3010 | |
(608) 897-3011 |
Full Name | Travis Malott |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 9 Years |
Location | E101 4th Street, Brodhead, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235521360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5080-12 (Wisconsin) | Primary |
Provider Name | Cardinal Chiropractic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366780918 PECOS PAC ID: 3476866385 Enrollment ID: O20150722003383 |
Mailing Address | Practice Location Address |
---|---|
Travis Malott, DC E101 4th Street, Brodhead, WI 53520-2003 Ph: (608) 897-3010 | Travis Malott, DC E101 4th Street, Brodhead, WI 53520-2003 Ph: (608) 897-3010 |
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