| Caledonia Chiropractic Clinic, Sc | |
|
5401 Douglas Ave, Suite A, Racine, WI 53402 | |
| (262) 681-8829 | |
| (262) 681-8830 |
| Full Name | Caledonia Chiropractic Clinic, Sc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5401 Douglas Ave, Racine, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881605111 | NPI | - | NPPES |
| 39002000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3317-012 (Wisconsin) | Primary |
| Provider Name | Timothy P Schneider |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356400519 PECOS PAC ID: 1850280561 Enrollment ID: I20040312000165 |
| Mailing Address | Practice Location Address |
|---|---|
| Caledonia Chiropractic Clinic, Sc 5401 Douglas Ave, Suite A, Racine, WI 53402 Ph: (262) 681-8829 | Caledonia Chiropractic Clinic, Sc 5401 Douglas Ave, Suite A, Racine, WI 53402 Ph: (262) 681-8829 |
Yorgan Chiropractic Office, Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5401 Douglas Ave, Racine, WI 53402 Phone: 262-884-0484 | |
Andrew I Solomon Dc Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4401 Taylor Avenue, Racine, WI 53405 Phone: 262-552-7999 Fax: 262-552-7998 | |
Dr. Ralph William Porcaro, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3423 Washington Avenue, Racine, WI 53405 Phone: 262-632-0285 | |
Dr. Andrew Ira Solomon, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4401 Taylor Ave, Racine, WI 53405 Phone: 262-552-7999 Fax: 262-552-7998 | |
Dr. Ib Thostrup, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2827 Rapids Dr, Racine, WI 53404 Phone: 262-633-3123 Fax: 262-633-4823 | |
Daniel Robert Algrim, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5332 Spring St, Racine, WI 53406 Phone: 262-886-1213 Fax: 262-886-4114 | |
Algrim Chiropractic Office, Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5332 Spring St, Racine, WI 53406 Phone: 262-886-1213 Fax: 262-886-4114 |