Issabella Veronica Johnson, CHIROPRACTOR | |
W5675 County Hwy B, Shawano, WI 54166-5416 | |
(715) 526-6158 | |
Not Available |
Full Name | Issabella Veronica Johnson |
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Gender | Female |
Speciality | Chiropractor |
Location | W5675 County Hwy B, Shawano, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083486617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6129-12 (Wisconsin) | Primary |
Provider Name | The Chiropractic Advantage Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336420751 PECOS PAC ID: 9537233531 Enrollment ID: O20111024000617 |
Mailing Address | Practice Location Address |
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Issabella Veronica Johnson, CHIROPRACTOR W8573 Cloverleaf Lake Rd, Clintonville, WI 54929-8510 Ph: (715) 250-3500 | Issabella Veronica Johnson, CHIROPRACTOR W5675 County Hwy B, Shawano, WI 54166-5416 Ph: (715) 526-6158 |
Dr. Tyler Pensis, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: W5675 Cty Hwy B, Shawano, WI 54166 Phone: 715-526-6158 | |
Dr. Michael E Brosnan, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 322 E Green Bay St, Shawano, WI 54166 Phone: 715-526-5019 | |
Dr. Aeric Berner, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 153 S Main St, Shawano, WI 54166 Phone: 715-201-1081 Fax: 715-350-6767 | |
Alexander Anton Provost, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: W5675 County Road B, Shawano, WI 54166 Phone: 715-526-6158 | |
Countryview Chiropractic Clinic, S.c. Chiropractor Medicare: Medicare Enrolled Practice Location: W5675 Cty Hwy B, Shawano, WI 54166 Phone: 715-526-6158 Fax: 715-526-6178 | |
Verkuilen Family Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 154 Woodlawn Dr, Shawano, WI 54166 Phone: 715-524-6720 Fax: 715-524-5581 |