| Rising Health Chiropractic Wellness Corp | |
|
601 Ryan St Suite F Pewaukee WI 53072-1844 | |
| (262) 695-9698 | |
| (262) 695-0144 |
| Full Name | Rising Health Chiropractic Wellness Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 Ryan St, Pewaukee, Wisconsin |
| Authorized Official Name and Position | James Michael Hauke (OWNER/ PRESIDENT) |
| Authorized Official Contact | 2626959698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Health Chiropractic Wellness Corp 601 Ryan St Suite F Pewaukee WI 53072-1844 Ph: (262) 695-9698 | Rising Health Chiropractic Wellness Corp 601 Ryan St Suite F Pewaukee WI 53072-1844 Ph: (262) 695-9698 |
| NPI Number | 1508232125 |
|---|---|
| Provider Enumeration Date | 08/18/2015 |
| Last Update Date | 08/18/2015 |
| Medicare PECOS PAC ID | 1254646219 |
|---|---|
| Medicare Enrollment ID | O20150819009134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508232125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3975-012 (Wisconsin) | Primary |
| Provider Name | James M Hauke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851455109 PECOS PAC ID: 4183813322 Enrollment ID: I20110104000886 |
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