| Wellcorp, Llc | |
|
836 Willow St, Omro, WI 54963-9373 | |
| (920) 685-3015 | |
| (920) 685-3017 |
| Full Name | Wellcorp, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 836 Willow St, Omro, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841367646 | NPI | - | NPPES |
| 38885500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Michael L Bosquez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285632901 PECOS PAC ID: 2062466055 Enrollment ID: I20050316000250 |
| Provider Name | Mitchell David Kramer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942067830 PECOS PAC ID: 5294172839 Enrollment ID: I20240319002065 |
| Mailing Address | Practice Location Address |
|---|---|
| Wellcorp, Llc 836 Willow St, Omro, WI 54963-9373 Ph: (920) 685-3015 | Wellcorp, Llc 836 Willow St, Omro, WI 54963-9373 Ph: (920) 685-3015 |
Brittany N Doucette, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 836 Willow St, Omro, WI 54963 Phone: 920-685-3015 Fax: 920-685-3017 | |
Michael Stertz, Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 215 Jackson Ave, Omro, WI 54963 Phone: 920-685-6788 Fax: 920-685-0293 | |
Omro Chiropractic Office, Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 215 Jackson Ave, Omro, WI 54963 Phone: 920-685-6788 Fax: 920-685-0293 | |
Dr. Michael Lawrence Bosquez, D.C., CCEP Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 836 Willow St, Omro, WI 54963 Phone: 920-685-3015 Fax: 920-685-3017 | |
Trevor Lee Chalfant, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 127 W Main St, Omro, WI 54963 Phone: 317-506-9609 | |
Edwin F Davis Dc Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5430 Reighmoor Rd, Omro, WI 54963 Phone: 920-312-3472 | |
Edwin F Davis, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5430 Reighmoor Rd, Omro, WI 54963 Phone: 920-312-3472 |