| James M. Powell Dc,sc | |
|
1185 Corporate Center Dr Oconomowoc WI 53066-4845 | |
| (262) 928-8411 | |
| Not Available |
| Full Name | James M. Powell Dc,sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1185 Corporate Center Dr, Oconomowoc, Wisconsin |
| Authorized Official Name and Position | James Powell (PRESIDENT) |
| Authorized Official Contact | 2629288411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James M. Powell Dc,sc 1185 Corporate Center Dr Oconomowoc WI 53066-4845 Ph: () - | James M. Powell Dc,sc 1185 Corporate Center Dr Oconomowoc WI 53066-4845 Ph: (262) 928-8411 |
| NPI Number | 1578783379 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4183707144 |
|---|---|
| Medicare Enrollment ID | O20080213000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578783379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2172 (Wisconsin) | Primary |
| Provider Name | James M Powell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508086380 PECOS PAC ID: 6103810916 Enrollment ID: I20040414000156 |
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