Blau Chiropractic Sc | |
641 Latton Ln, Portage, WI 53901-1078 | |
(608) 742-1300 | |
(608) 745-0147 |
Full Name | Blau Chiropractic Sc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 641 Latton Ln, Portage, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003003716 | NPI | - | NPPES |
38887700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2990 (Wisconsin) | Primary |
Provider Name | Kevin Blau |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1932194172 PECOS PAC ID: 7719929009 Enrollment ID: I20050526000411 |
Provider Name | Jennifer A Breunig |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1316011521 PECOS PAC ID: 3971505975 Enrollment ID: I20070205000147 |
Provider Name | Lance G Brisky |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1477898286 PECOS PAC ID: 9032354576 Enrollment ID: I20210818001955 |
Provider Name | Collin Robert Mcculloch |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1629701552 PECOS PAC ID: 4385025238 Enrollment ID: I20220722002574 |
Mailing Address | Practice Location Address |
---|---|
Blau Chiropractic Sc 641 Latton Ln, Portage, WI 53901-1078 Ph: (608) 742-1300 | Blau Chiropractic Sc 641 Latton Ln, Portage, WI 53901-1078 Ph: (608) 742-1300 |
Johnson Chiropractic Clinic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1512 New Pinery Rd, Portage, WI 53901 Phone: 608-742-5578 Fax: 608-742-7028 | |
Jessica Rose Dredske, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 641 Latton Ln, Portage, WI 53901 Phone: 608-742-1300 | |
Bindl Family Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 2425 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4300 Fax: 608-742-4311 | |
Dr. William Eric Johnson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1512 New Pinery Rd, Portage, WI 53901 Phone: 608-742-5578 Fax: 608-742-7028 | |
Mr. Daniel R Beard, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 440 E Albert St, Portage, WI 53901 Phone: 608-742-2333 | |
Johnson Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1512 New Pinery Rd, Portage, WI 53901 Phone: 608-742-5578 |