| Joseph Tate, DC | |
|
7033 Washington Ave Ste 102, Mount Pleasant, WI 53406-6524 | |
| (262) 770-5997 | |
| Not Available |
| Full Name | Joseph Tate |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 7033 Washington Ave Ste 102, Mount Pleasant, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700417102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6264-12 (Wisconsin) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Provider Name | Racine Sports and Family Chiropractic LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851196364 PECOS PAC ID: 2567987589 Enrollment ID: O20250422002680 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Tate, DC 2835 Parkshire Dr, Mount Pleasant, WI 53406-1623 Ph: Not Available | Joseph Tate, DC 7033 Washington Ave Ste 102, Mount Pleasant, WI 53406-6524 Ph: (262) 770-5997 |
Kathryn Ann Kulba, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6233 Durand Ave, Mount Pleasant, WI 53406 Phone: 262-554-6449 Fax: 262-554-8609 |
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