| River Shores Chiropractic Sc | |
|
705 Village Green Way, Suite 105, West Bend, WI 53090-2527 | |
| (262) 334-4070 | |
| (262) 334-4078 |
| Full Name | River Shores Chiropractic Sc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 705 Village Green Way, West Bend, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013197904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4353-12 (Wisconsin) | Primary |
| Provider Name | Krysti K Wick |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922297852 PECOS PAC ID: 5193815090 Enrollment ID: I20071215000092 |
| Provider Name | Andrea M Lange |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083919724 PECOS PAC ID: 9335431691 Enrollment ID: I20160706001546 |
| Provider Name | Kari Lynn Charlevoix |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306359336 PECOS PAC ID: 3072870757 Enrollment ID: I20171205002771 |
| Provider Name | Allison Marie Rahn |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740908953 PECOS PAC ID: 8426434945 Enrollment ID: I20221005003493 |
| Mailing Address | Practice Location Address |
|---|---|
| River Shores Chiropractic Sc 705 Village Green Way, Suite 105, West Bend, WI 53090-2527 Ph: (262) 334-4070 | River Shores Chiropractic Sc 705 Village Green Way, Suite 105, West Bend, WI 53090-2527 Ph: (262) 334-4070 |
Mr. Garrett J Brugger, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1624 Clarence Ct, West Bend, WI 53095 Phone: 262-334-4847 Fax: 262-334-5554 | |
Dr. Fj Schofield, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 820 E Paradise Dr, West Bend, WI 53095 Phone: 262-334-8188 Fax: 262-334-8166 | |
Dr. Kurt Rudolf Schaarschmidt, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 235 N 18th Ave, West Bend, WI 53095 Phone: 262-334-0374 Fax: 262-334-5958 | |
Braden M Sims, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123 Fax: 262-338-7169 | |
Jeffrey Joseph Lutz, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2150 Chestnut Street, West Bend, WI 53095 Phone: 262-334-5431 Fax: 262-335-6481 | |
Dr. John S Belland, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123 Fax: 262-338-7684 |