Pank Chiropractic, Inc. | |
36321 Main St, Whitehall, WI 54773-9186 | |
(715) 538-2333 | |
(715) 538-2429 |
Full Name | Pank Chiropractic, Inc. |
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Type | Facility |
Speciality | Chiropractor |
Location | 36321 Main St, Whitehall, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1942446125 | NPI | - | NPPES |
38963700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 4149-012 (Wisconsin) | Primary |
Provider Name | Sara A Pank |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1447292107 PECOS PAC ID: 5991725806 Enrollment ID: I20051206000684 |
Provider Name | Brandon Heith Koxlien |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1366849515 PECOS PAC ID: 5092030734 Enrollment ID: I20150220001544 |
Provider Name | Jared Bechel |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1861032716 PECOS PAC ID: 0840625661 Enrollment ID: I20200123002781 |
Mailing Address | Practice Location Address |
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Pank Chiropractic, Inc. 36321 Main St, Whitehall, WI 54773-9186 Ph: (715) 538-2333 | Pank Chiropractic, Inc. 36321 Main St, Whitehall, WI 54773-9186 Ph: (715) 538-2333 |
Sara Ann Pank, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 36321 Main St, Whitehall, WI 54773 Phone: 715-538-2333 Fax: 715-538-2429 |