| Paulson Chiropractic Clinic, Llc | |
|
336 3rd Ave, Clear Lake, WI 54005-8581 | |
| (715) 263-2313 | |
| Not Available |
| Full Name | Paulson Chiropractic Clinic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 336 3rd Ave, Clear Lake, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215364211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4949 (Wisconsin) | Primary |
| Provider Name | Bradley A Paulson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083722920 PECOS PAC ID: 4981656022 Enrollment ID: I20050216000698 |
| Provider Name | Brent Richard Paulson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871925669 PECOS PAC ID: 3678702412 Enrollment ID: I20140128000743 |
| Mailing Address | Practice Location Address |
|---|---|
| Paulson Chiropractic Clinic, Llc Po Box 96, Clear Lake, WI 54005-0096 Ph: () - | Paulson Chiropractic Clinic, Llc 336 3rd Ave, Clear Lake, WI 54005-8581 Ph: (715) 263-2313 |
Northern Roots Family Spinal Care, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 470 3rd Ave, Clear Lake, WI 54005 Phone: 715-303-7121 | |
Dr. Bradley Alvin Paulson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 336 3rd Ave, Clear Lake, WI 54005 Phone: 715-263-2313 Fax: 715-263-3284 | |
Dr. Brent Richard Paulson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 336 3rd Ave, Clear Lake, WI 54005 Phone: 715-263-2313 Fax: 715-263-3284 |