Vandecastle Chiropractic, Llc | |
16 N Madison St, Waupun, WI 53963-1129 | |
(920) 324-8776 | |
Not Available |
Full Name | Vandecastle Chiropractic, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 16 N Madison St, Waupun, 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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1003938929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3212 (Wisconsin) | Primary |
Provider Name | Michael J Vandecastle |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1679613061 PECOS PAC ID: 5890890800 Enrollment ID: I20070420000047 |
Mailing Address | Practice Location Address |
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Vandecastle Chiropractic, Llc Po Box 283, Waupun, WI 53963-0283 Ph: (920) 324-8776 | Vandecastle Chiropractic, Llc 16 N Madison St, Waupun, WI 53963-1129 Ph: (920) 324-8776 |
Waupun Chiropractic Center, S.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 160 Gateway Dr, Waupun, WI 53963 Phone: 920-324-9899 Fax: 920-324-9898 | |
Dr. Mitchell W Johnson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 716 W Main St, Waupun, WI 53963 Phone: 920-324-5641 Fax: 920-324-5655 | |
Johnson Chiropractic Office, S.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 716 W Main St, Waupun, WI 53963 Phone: 920-324-5641 Fax: 920-324-5655 | |
Dr. Michael John Vandecastle, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 16 N Madison St, Waupun, WI 53963 Phone: 920-324-8776 Fax: 920-324-8784 |