| Goodell Chiropractic Office | |
|
8020 Durand Ave, Sturtevant, WI 53177-1976 | |
| (262) 886-8600 | |
| (262) 886-5342 |
| Full Name | Goodell Chiropractic Office |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 8020 Durand Ave, Sturtevant, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932538923 | NPI | - | NPPES |
| 350024280 | Other | WI | MEDICARE RAILROAD |
| 38886700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 224512 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Goodell Chiropractic Office 8020 Durand Ave, Po Box 392, Sturtevant, WI 53177-1976 Ph: (262) 886-8600 | Goodell Chiropractic Office 8020 Durand Ave, Sturtevant, WI 53177-1976 Ph: (262) 886-8600 |
Amanda Lynn Whitledge, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2753 Wisconsin St, Sturtevant, WI 53177 Phone: 262-886-8600 Fax: 262-886-5342 |
Whitledge Family Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 2753 Wisconsin St, Sturtevant, WI 53177 Phone: 262-886-8600 Fax: 262-886-5342 |