| Dr Brady Troy Booth, DC | |
|
123 N Broadway St, Stanley, WI 54768-1005 | |
| (715) 644-5677 | |
| Not Available |
| Full Name | Dr Brady Troy Booth |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 123 N Broadway St, Stanley, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265242366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6269-12 (Wisconsin) | Primary |
| Provider Name | Stanley Family Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649454562 PECOS PAC ID: 6800035551 Enrollment ID: O20130610000724 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brady Troy Booth, DC 123 N Broadway St, Stanley, WI 54768-1005 Ph: (715) 644-5677 | Dr Brady Troy Booth, DC 123 N Broadway St, Stanley, WI 54768-1005 Ph: (715) 644-5677 |
Dr. Gregory Robert Haas, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 123 N Broadway St, Stanley, WI 54768 Phone: 715-644-5677 | |
Dr. Jennifer Ann Haas, D.C., MSHS Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 123 N Broadway St, Stanley, WI 54768 Phone: 715-644-5677 Fax: 715-644-3422 | |
Dr. Todd Ponick, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 9520 County Highway H, Stanley, WI 54768 Phone: 715-644-5428 Fax: 715-644-5486 | |
Stanley Family Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 123 N Broadway St, Stanley, WI 54768 Phone: 715-644-5677 Fax: 715-644-3422 | |
Ponick Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 9520 County Highway H, Stanley, WI 54768 Phone: 715-644-5428 Fax: 715-644-5486 |