| Lakeshore Chiropractic, S.c. | |
|
3009 Forest Ave, Two Rivers, WI 54241-1926 | |
| (920) 793-4498 | |
| (920) 553-4499 |
| Full Name | Lakeshore Chiropractic, S.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3009 Forest Ave, Two Rivers, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437371200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3351-012 (Wisconsin) | Primary |
| Provider Name | Christopher John Simons |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811078413 PECOS PAC ID: 1153398383 Enrollment ID: I20040916000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Chiropractic, S.c. 3009 Forest Ave, Two Rivers, WI 54241-1926 Ph: (920) 793-4498 | Lakeshore Chiropractic, S.c. 3009 Forest Ave, Two Rivers, WI 54241-1926 Ph: (920) 793-4498 |
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