| Shell Lake Cumberland Chiropractic Clinics Llc | |
|
17 5th Ave, Shell Lake, WI 54871-5487 | |
| (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 | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023786324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Mark A Murray |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255439444 PECOS PAC ID: 7113963240 Enrollment ID: I20050630000135 |
| Provider Name | Jimmy A Reidt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508910514 PECOS PAC ID: 9739348400 Enrollment ID: I20120316000046 |
| Provider Name | Brenda L Joyce Reidt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699829606 PECOS PAC ID: 7911166681 Enrollment ID: I20120316000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Shell Lake Cumberland Chiropractic Clinics Llc Po Box 637, Shell Lake, WI 54871-0637 Ph: (715) 468-2275 | Shell Lake Cumberland Chiropractic Clinics Llc 17 5th Ave, Shell Lake, WI 54871-5487 Ph: (715) 468-2275 |
Shell Lake Cumberland Chiropractic Clinics Llc Chiropractor Medicare: Not Enrolled in Medicare 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 |