| Alive Chiropractic Llc | |
|
12930 W Bluemound Rd, Elm Grove, WI 53122-2606 | |
| (262) 955-8867 | |
| Not Available |
| Full Name | Alive Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 12930 W Bluemound Rd, Elm Grove, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447754890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5317-12 (Wisconsin) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Robert Fugiel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467952135 PECOS PAC ID: 4183987720 Enrollment ID: I20180413001186 |
| Mailing Address | Practice Location Address |
|---|---|
| Alive Chiropractic Llc 12930 W Bluemound Rd, Elm Grove, WI 53122-2606 Ph: (262) 955-8867 | Alive Chiropractic Llc 12930 W Bluemound Rd, Elm Grove, WI 53122-2606 Ph: (262) 955-8867 |
Dr. Lynette Boshoff, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 890 Elm Grove Rd, Suite 1, Elm Grove, WI 53122 Phone: 414-617-0909 | |
Mark Koch Dc Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1055 Legion Dr, Elm Grove, WI 53122 Phone: 262-784-8232 Fax: 262-784-4139 | |
Kindo Integrated Health Center Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 890 Elm Grove Rd, Elm Grove, WI 53122 Phone: 262-827-4000 Fax: 262-827-1503 | |
Dr. Michael Hecker, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 500 Elm Grove Rd, # 325, Elm Grove, WI 53122 Phone: 262-782-1616 | |
Dr. Robert Fugiel, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 12930 W Bluemound Rd, Elm Grove, WI 53122 Phone: 262-955-8867 | |
Katharine Rae Gandy, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 500 Elm Grove Rd, Suite 325, Elm Grove, WI 53122 Phone: 262-782-1616 |