Body Wave Corporation | |
2984 Triverton Pike Dr, Ste. 102, Fitchburg, WI 53711-5841 | |
(608) 556-1705 | |
Not Available |
Full Name | Body Wave Corporation |
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Type | Facility |
Speciality | Chiropractor |
Location | 2984 Triverton Pike Dr, Fitchburg, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760725329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 391512 (Wisconsin) | Primary |
Provider Name | Laura A Konopacki |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1295082238 PECOS PAC ID: 3971533480 Enrollment ID: I20060502000425 |
Mailing Address | Practice Location Address |
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Body Wave Corporation 2984 Triverton Pike Dr, Ste. 102, Fitchburg, WI 53711-5841 Ph: (608) 556-1705 | Body Wave Corporation 2984 Triverton Pike Dr, Ste. 102, Fitchburg, WI 53711-5841 Ph: (608) 556-1705 |
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