| Larson Chiropractic Office Inc | |
|
410 N River St, Spooner, WI 54801 | |
| (715) 635-9307 | |
| Not Available |
| Full Name | Larson Chiropractic Office Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 410 N River St, Spooner, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457419863 | NPI | - | NPPES |
| 350052432 | Other | RR MEDICARE | |
| 38752600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1432012 (Wisconsin) | Primary |
| Provider Name | Randy O Larson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437347648 PECOS PAC ID: 4284722018 Enrollment ID: I20071113000205 |
| Mailing Address | Practice Location Address |
|---|---|
| Larson Chiropractic Office Inc 410 N River St, Spooner, WI 54801 Ph: (715) 635-9307 | Larson Chiropractic Office Inc 410 N River St, Spooner, WI 54801 Ph: (715) 635-9307 |
Randy Obert Larson, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 410 N River St, Spooner, WI 54801 Phone: 715-635-9307 | |
Dr. Kaycie Lee Anderson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 415 N Front St, Spooner, WI 54801 Phone: 715-544-8964 | |
Parker Hewes, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 415 N Front St, Spooner, WI 54801 Phone: 262-339-1806 | |
Dr. Lyle L Lauritsen, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 214 Spruce St, Spooner, WI 54801 Phone: 715-635-6969 Fax: 715-635-6946 | |
Strickland Chiropractic Sc Chiropractor Medicare: Medicare Enrolled Practice Location: 211 E Linn St, Spooner, WI 54801 Phone: 715-635-9494 Fax: 715-635-9755 | |
Dr. Randy G Strickland, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 211 E Linn St, Spooner, WI 54801 Phone: 715-635-9494 Fax: 715-635-9755 |