| Alt Chiropractic | |
|
127 Park Ave, Beaver Dam, WI 53916-2107 | |
| (920) 887-3717 | |
| (920) 887-0220 |
| Full Name | Alt Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 127 Park Ave, Beaver Dam, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285700955 | NPI | - | NPPES |
| 38833700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2007-012 (Wisconsin) | Primary |
| Provider Name | Dale R Alt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003845587 PECOS PAC ID: 4587839063 Enrollment ID: I20111212000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Alt Chiropractic 127 Park Ave, Beaver Dam, WI 53916-2107 Ph: (920) 887-3717 | Alt Chiropractic 127 Park Ave, Beaver Dam, WI 53916-2107 Ph: (920) 887-3717 |
Dale R Alt, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 127 Park Ave, Beaver Dam, WI 53916 Phone: 920-887-3717 Fax: 920-887-0220 | |
Dr. William Patrick Lentscher, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 250 Corporate Dr, Beaver Dam, WI 53916 Phone: 920-887-7156 Fax: 920-887-7290 | |
Chiropractic Usa Chiropractor Medicare: Medicare Enrolled Practice Location: 105 Warren St, Beaver Dam, WI 53916 Phone: 920-885-0641 Fax: 920-885-0643 | |
Dr. Roger Clarence Hasbrouck, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 915 Madison St, Beaver Dam, WI 53916 Phone: 920-887-8436 Fax: 920-887-7399 | |
Dr. Jerome E Tyjeski, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 119 E Mackie St, Beaver Dam, WI 53916 Phone: 920-885-3020 Fax: 920-885-3024 | |
(inactive) Marshfield Medical Center - Beaver Dam Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 211 Corporate Dr, Suite H, Beaver Dam, WI 53916 Phone: 920-821-0071 Fax: 920-821-0072 |