| Heffernan Chiropractic Clinic Sc | |
|
1820 E Main St, Waukesha, WI 53186-3902 | |
| (262) 549-4555 | |
| (262) 549-9750 |
| Full Name | Heffernan Chiropractic Clinic Sc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1820 E Main St, Waukesha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720120868 | NPI | - | NPPES |
| 38181900 | Medicaid | WI | |
| 38828400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1326-012 (Wisconsin) | Primary |
| 111N00000X | Chiropractor | 3874-012 (Wisconsin) | Secondary |
| Provider Name | Joseph P Heffernan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801991922 PECOS PAC ID: 6901981851 Enrollment ID: I20110330000475 |
| Provider Name | Amy L Heffernan Lowe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902967359 PECOS PAC ID: 7416134580 Enrollment ID: I20110527000343 |
| Provider Name | Zachary Augustus Kujawa |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386362572 PECOS PAC ID: 0749664316 Enrollment ID: I20220831000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Heffernan Chiropractic Clinic Sc 1820 E Main St, Waukesha, WI 53186-3902 Ph: (262) 549-4555 | Heffernan Chiropractic Clinic Sc 1820 E Main St, Waukesha, WI 53186-3902 Ph: (262) 549-4555 |
Dr. Ryan Michael Hetzel, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1720 Dolphin Ct, Suite E, Waukesha, WI 53186 Phone: 262-547-7441 Fax: 262-547-1971 | |
Edwards Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21195 Watertown Rd, Waukesha, WI 53186 Phone: 414-784-3277 Fax: 262-784-1957 | |
Heather Davidson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21075 Swenson Drive Suite 700, Waukesha, WI 53186 Phone: 262-754-6850 | |
Dr. Breyan Michelle Radeck, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2717 N Grandview Blvd Ste 101, Waukesha, WI 53188 Phone: 262-349-9370 Fax: 262-349-9729 | |
Breyan Radeck Dc, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 2717 N Grandview Blvd Ste 101, Waukesha, WI 53188 Phone: 262-349-9370 Fax: 262-349-9729 | |
Elite Sport & Spine, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1375 S Cherokee Dr, Waukesha, WI 53186 Phone: 920-723-5197 | |
Wellness Way Waukesha Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 628 W Moreland Blvd, Waukesha, WI 53188 Phone: 262-650-0701 |