| Wilke Chiropractic Office | |
|
E101 4th St, Brodhead, WI 53520-2003 | |
| (608) 897-3010 | |
| (608) 897-3011 |
| Full Name | Wilke Chiropractic Office |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | E101 4th St, Brodhead, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366780918 | NPI | - | NPPES |
| 534673 | Other | DEAN HEALTH PLAN | |
| 38941900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5080-12 (Wisconsin) | Primary |
| Provider Name | Travis J Malott |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235521360 PECOS PAC ID: 8426376336 Enrollment ID: I20150406000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Wilke Chiropractic Office E101 4th St, Brodhead, WI 53520-2003 Ph: (608) 897-3010 | Wilke Chiropractic Office E101 4th St, Brodhead, WI 53520-2003 Ph: (608) 897-3010 |
Brodhead Chiropractic Center, Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 807 16th St, Brodhead, WI 53520 Phone: 608-897-3080 Fax: 608-897-4353 | |
United Chiropractic Clinic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 2504 1st Center Ave, Brodhead, WI 53520 Phone: 608-897-2136 Fax: 608-897-8366 | |
Travis Malott, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: E101 4th Street, Brodhead, WI 53520 Phone: 608-897-3010 Fax: 608-897-3011 | |
Brodhead Chiropractic Center Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 807 16th St, Brodhead, WI 53520 Phone: 608-897-3080 Fax: 608-897-4353 | |
Brodhead Family Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1027 1st Center Ave, Brodhead, WI 53520 Phone: 608-214-5872 | |
Dr. Dawn A. Smith, S.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 807 16th St, Brodhead, WI 53520 Phone: 608-897-3080 Fax: 608-897-4353 |