| Restoration Chiropractic, Llc | |
|
4024 Esch Rd Dodgeville WI 53533-8740 | |
| (563) 587-8087 | |
| (563) 587-8088 |
| Full Name | Restoration Chiropractic, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4024 Esch Rd, Dodgeville, Wisconsin |
| Authorized Official Name and Position | Judith Ann Dochnahl (OWNER) |
| Authorized Official Contact | 5636878087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Chiropractic, Llc 4024 Esch Rd Dodgeville WI 53533-8740 Ph: (563) 587-8087 | Restoration Chiropractic, Llc 4024 Esch Rd Dodgeville WI 53533-8740 Ph: (563) 587-8087 |
| NPI Number | 1114367828 |
|---|---|
| Provider Enumeration Date | 06/26/2013 |
| Last Update Date | 04/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114367828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3435-012 (Wisconsin) | Primary |
| 261Q00000X | Clinic/center | 007484 (Iowa) | Secondary |
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