| Augusta Chiropractic Llc | |
|
112 E Lincoln St, Augusta, WI 54722-9234 | |
| (715) 286-5515 | |
| Not Available |
| Full Name | Augusta Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 112 E Lincoln St, Augusta, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932545621 | NPI | - | NPPES |
| 38934900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3790-012 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Chiropractic Llc 112 E Lincoln St, Augusta, WI 54722-9234 Ph: (715) 286-5515 | Augusta Chiropractic Llc 112 E Lincoln St, Augusta, WI 54722-9234 Ph: (715) 286-5515 |
Dennis Eugene Severson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 154 W Lincoln St, Suite 2, Augusta, WI 54722 Phone: 715-225-1055 Fax: 715-286-5210 | |
Dr. Chad Allan Johnson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 112 E Lincoln St, Augusta, WI 54722 Phone: 715-286-5515 Fax: 715-286-4471 |