| Northwoods Chiropractic Inc. | |
|
15614 Windrose Ln Suite 300 Hayward WI 54843-5032 | |
| (715) 634-9911 | |
| (715) 634-9911 |
| Full Name | Northwoods Chiropractic Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 15614 Windrose Ln, Hayward, Wisconsin |
| Authorized Official Name and Position | Mark Allen Murray (CHIROPRACTIC/OWNER) |
| Authorized Official Contact | 7156349911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwoods Chiropractic Inc. Po Box 1339 Hayward WI 54843-1339 Ph: (715) 634-9911 | Northwoods Chiropractic Inc. 15614 Windrose Ln Suite 300 Hayward WI 54843-5032 Ph: (715) 634-9911 |
| NPI Number | 1326235292 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 09/25/2007 |
| Medicare PECOS PAC ID | 0244276368 |
|---|---|
| Medicare Enrollment ID | O20050629000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326235292 | NPI | - | NPPES |
| 38869900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2892-012 (Wisconsin) | Primary |
| Provider Name | Mark A Murray |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255439444 PECOS PAC ID: 7113963240 Enrollment ID: I20050630000135 |
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