| Chiropractic Company - Oconomowoc Ltd | |
|
1300 N Summit Ave Ste 201, Oconomowoc, WI 53066-4467 | |
| (262) 244-5004 | |
| (262) 257-9966 |
| Full Name | Chiropractic Company - Oconomowoc Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1300 N Summit Ave Ste 201, Oconomowoc, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265884928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Bradley William Fritz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578955944 PECOS PAC ID: 4981994613 Enrollment ID: I20160608000633 |
| Provider Name | Vanessa Marie Fritz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356772784 PECOS PAC ID: 4789976531 Enrollment ID: I20160714001586 |
| Provider Name | John Leonard Staranko |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245720291 PECOS PAC ID: 3072852748 Enrollment ID: I20190316000037 |
| Provider Name | Andrea K. Knoelke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205495835 PECOS PAC ID: 4385975622 Enrollment ID: I20191017000504 |
| Provider Name | Kevin Rex Morton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366054140 PECOS PAC ID: 7214356963 Enrollment ID: I20200929002233 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiropractic Company - Oconomowoc Ltd 1300 N Summit Ave Ste 201, Oconomowoc, WI 53066-4467 Ph: (262) 244-5004 | Chiropractic Company - Oconomowoc Ltd 1300 N Summit Ave Ste 201, Oconomowoc, WI 53066-4467 Ph: (262) 244-5004 |
Oconomowoc Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 880 Summit Ave, Oconomowoc, WI 53066 Phone: 262-567-4999 Fax: 262-567-4699 | |
Dr. Roby Christian Dorn, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: W359n5002 Brown St Ste 220a, Oconomowoc, WI 53066 Phone: 262-203-9036 Fax: 262-203-9774 | |
Dr. Brady Robert Dorn, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 888 Thackeray Trl, Suite 210, Oconomowoc, WI 53066 Phone: 262-560-9600 Fax: 262-560-9599 | |
Emma Roche, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1300 N Summit Ave Ste 201, Oconomowoc, WI 53066 Phone: 262-244-5004 | |
Michael R Traub D.c. Ltd Chiropractor Medicare: Medicare Enrolled Practice Location: N58w39799 Hwy 16, Oconomowoc, WI 53066 Phone: 262-567-4497 Fax: 262-567-3716 | |
Zachary Chudy, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 109 S Concord Rd, Oconomowoc, WI 53066 Phone: 262-560-4977 | |
Dr. Andrea K. Knoelke, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1300 N Summit Ave Ste 201, Oconomowoc, WI 53066 Phone: 262-244-5004 Fax: 262-257-9966 |