| Vandecastle Chiropractic, Llc | |
|
16 N Madison St, Waupun, WI 53963-1129 | |
| (920) 324-8776 | |
| Not Available |
| Full Name | Vandecastle Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 16 N Madison St, Waupun, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003938929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3212 (Wisconsin) | Primary |
| Provider Name | Michael J Vandecastle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679613061 PECOS PAC ID: 5890890800 Enrollment ID: I20070420000047 |
| Mailing Address | Practice Location Address |
|---|---|
| Vandecastle Chiropractic, Llc Po Box 283, Waupun, WI 53963-0283 Ph: (920) 324-8776 | Vandecastle Chiropractic, Llc 16 N Madison St, Waupun, WI 53963-1129 Ph: (920) 324-8776 |
Nathaniel Alan Drees, DC, CSCS Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 160 Gateway Dr, Waupun, WI 53963 Phone: 920-324-9899 Fax: 920-324-9898 | |
Waupun Chiropractic Center, S.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 160 Gateway Dr, Waupun, WI 53963 Phone: 920-324-9899 Fax: 920-324-9898 | |
Dr. Mitchell W Johnson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 716 W Main St, Waupun, WI 53963 Phone: 920-324-5641 Fax: 920-324-5655 | |
Chelsea Ann Kastein, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 160 Gateway Dr, Waupun, WI 53963 Phone: 920-324-9899 Fax: 920-324-9898 | |
Johnson Chiropractic Office, S.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 716 W Main St, Waupun, WI 53963 Phone: 920-324-5641 Fax: 920-324-5655 | |
Dr. Michael John Vandecastle, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 16 N Madison St, Waupun, WI 53963 Phone: 920-324-8776 Fax: 920-324-8784 |