| Shepherd Chiropractic Clinic S.c. | |
|
2343 Silvernail Rd Pewaukee WI 53072-5402 | |
| (262) 569-8050 | |
| Not Available |
| Full Name | Shepherd Chiropractic Clinic S.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2343 Silvernail Rd, Pewaukee, Wisconsin |
| Authorized Official Name and Position | Dean S. Shepherd (PRESIDENT) |
| Authorized Official Contact | 2625698050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shepherd Chiropractic Clinic S.c. 2343 Silvernail Rd Pewaukee WI 53072-5402 Ph: (262) 569-8050 | Shepherd Chiropractic Clinic S.c. 2343 Silvernail Rd Pewaukee WI 53072-5402 Ph: (262) 569-8050 |
| NPI Number | 1295918555 |
|---|---|
| Provider Enumeration Date | 12/10/2007 |
| Last Update Date | 09/24/2014 |
| Medicare PECOS PAC ID | 7911080205 |
|---|---|
| Medicare Enrollment ID | O20080208000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295918555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2077 (Wisconsin) | Primary |
| Provider Name | Dean S Shepherd |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992866305 PECOS PAC ID: 6002999398 Enrollment ID: I20080208000600 |
| Provider Name | Erin E Nash |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104156140 PECOS PAC ID: 6800069691 Enrollment ID: I20111021000281 |
| Provider Name | Kayci M Timm |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982016861 PECOS PAC ID: 7719101765 Enrollment ID: I20140612000765 |
| Provider Name | Grant Logan Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346957198 PECOS PAC ID: 7113395880 Enrollment ID: I20221130002263 |
Prohealth Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Quinlan Dr, Pewaukee, WI 53072 Phone: 262-695-5800 | |
Prohealth Care Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Main Street, Room So173, Pewaukee, WI 53072 Phone: 262-695-1888 | |
The Ommani Center For Integrative Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1166 Quail Ct, Suite 210, Pewaukee, WI 53072 Phone: 262-695-5311 Fax: 262-695-9744 | |
Faithful Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Cecelia Drive, Pewaukee, WI 53072 Phone: 262-373-6733 Fax: 262-373-6018 | |
Rising Health Chiropractic Wellness Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Ryan St, Suite F, Pewaukee, WI 53072 Phone: 262-695-9698 Fax: 262-695-0144 | |
Prohealth Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1279 Capitol Dr, Pewaukee, WI 53072 Phone: 262-928-9180 |