| Coon Valley Chiropractic S.c. | |
|
113 Central Ave, Coon Valley, WI 54623-8039 | |
| (608) 452-2525 | |
| (608) 452-2526 |
| Full Name | Coon Valley Chiropractic S.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 113 Central Ave, Coon Valley, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275610222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3133-012 (Wisconsin) | Primary |
| Provider Name | Marypat C Peterson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861504896 PECOS PAC ID: 8729038872 Enrollment ID: I20050127000019 |
| Provider Name | Carl R Peterson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144281684 PECOS PAC ID: 2062411283 Enrollment ID: I20061215000115 |
| Mailing Address | Practice Location Address |
|---|---|
| Coon Valley Chiropractic S.c. 113 Central Ave, Coon Valley, WI 54623-8039 Ph: (608) 452-2525 | Coon Valley Chiropractic S.c. 113 Central Ave, Coon Valley, WI 54623-8039 Ph: (608) 452-2525 |
Carl R Peterson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 113 Central Ave, Coon Valley Chiropractic, Coon Valley, WI 54623 Phone: 608-452-2525 Fax: 608-452-2526 | |
Marypat C Peterson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 113 Central Ave, Coon Valley, WI 54623 Phone: 608-452-2525 Fax: 608-452-2526 |