| Bosma Chiropractic L.l.c. | |
|
450 High St., Ste 4, Wrightstown, WI 54180 | |
| (920) 532-6450 | |
| (920) 532-6455 |
| Full Name | Bosma Chiropractic L.l.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 450 High St., Wrightstown, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790903110 | NPI | - | NPPES |
| 389-36600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3807-012 (Wisconsin) | Primary |
| Provider Name | Bradley R Bosma |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366449696 PECOS PAC ID: 3375433279 Enrollment ID: I20040322000672 |
| Mailing Address | Practice Location Address |
|---|---|
| Bosma Chiropractic L.l.c. 450 High St., Ste 4, Wrightstown, WI 54180 Ph: (920) 532-6450 | Bosma Chiropractic L.l.c. 450 High St., Ste 4, Wrightstown, WI 54180 Ph: (920) 532-6450 |
Dawn Craft, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 450 High St # 5b, Wrightstown, WI 54180 Phone: 920-532-9071 | |
D&d Chiropractic And Wellness, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 450 High St # 5b, Wrightstown, WI 54180 Phone: 920-532-9071 | |
Dr. Bradley Richard Bosma, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 202 Plum Rd. Ste A, Ste 4, Wrightstown, WI 54180 Phone: 920-532-6450 |