| Peak Performance Chiropractic And Rehab Llc | |
|
242 E Main St Sun Prairie WI 53590-2279 | |
| (608) 318-2713 | |
| Not Available |
| Full Name | Peak Performance Chiropractic And Rehab Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 242 E Main St, Sun Prairie, Wisconsin |
| Authorized Official Name and Position | Logan A Georgeson (OWNER/CHIROPRACTOR) |
| Authorized Official Contact | 6089634985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Performance Chiropractic And Rehab Llc 242 E Main St Sun Prairie WI 53590-2279 Ph: (608) 318-2713 | Peak Performance Chiropractic And Rehab Llc 242 E Main St Sun Prairie WI 53590-2279 Ph: (608) 318-2713 |
| NPI Number | 1467088542 |
|---|---|
| Provider Enumeration Date | 03/20/2020 |
| Last Update Date | 07/14/2024 |
| Medicare PECOS PAC ID | 7719303759 |
|---|---|
| Medicare Enrollment ID | O20200820002008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467088542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Logan Georgeson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013543198 PECOS PAC ID: 8628494663 Enrollment ID: I20200820002218 |
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