| 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 |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932194172 PECOS PAC ID: 7719929009 Enrollment ID: I20050526000411 |
| Provider Name | Jennifer A Breunig |
|---|---|
| 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 |
| 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 |