| Shell Lake Cumberland Chiropractic Clinics Llc | |
|
17 5th Ave, Shell Lake, WI 54871 | |
| (715) 468-2275 | |
| Not Available |
| Full Name | Shell Lake Cumberland Chiropractic Clinics Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 17 5th Ave, Shell Lake, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104014059 | NPI | - | NPPES |
| 70330 | Other | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3069 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shell Lake Cumberland Chiropractic Clinics Llc Po Box 637, Shell Lake, WI 54871 Ph: (715) 468-2275 | Shell Lake Cumberland Chiropractic Clinics Llc 17 5th Ave, Shell Lake, WI 54871 Ph: (715) 468-2275 |
Shell Lake Cumberland Chiropractic Clinics Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 17 5th Ave, Shell Lake, WI 54871 Phone: 715-468-2275 | |
Dr. Jimmy A Reidt, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 17 5th Ave, Shell Lake, WI 54871 Phone: 715-468-2275 | |
Dr. Brenda L Joyce-reidt, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 17 5th Ave, Shell Lake, WI 54871 Phone: 715-468-2275 |