| Winneconne Chiropractic And Sports Rehab Llc | |
|
238 W Main Street, Winneconne, WI 54986 | |
| (920) 706-0178 | |
| (920) 706-0179 |
| Full Name | Winneconne Chiropractic And Sports Rehab Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 238 W Main Street, Winneconne, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346658903 | NPI | - | NPPES |
| 1619278819 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 4667-012 (Wisconsin) | Primary |
| Provider Name | Alexandra G Kellogg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619278819 PECOS PAC ID: 9830370683 Enrollment ID: I20110225000860 |
| Mailing Address | Practice Location Address |
|---|---|
| Winneconne Chiropractic And Sports Rehab Llc Po Box 365, Winneconne, WI 54986-0365 Ph: (920) 706-0178 | Winneconne Chiropractic And Sports Rehab Llc 238 W Main Street, Winneconne, WI 54986 Ph: (920) 706-0178 |
Adam Francis Mootz, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 102 N 13th Ave, Winneconne, WI 54986 Phone: 920-385-9499 | |
Mcginnis Chiropractic Health Clinic Chiropractor Medicare: Medicare Enrolled Practice Location: 11 N 6th Ave, Winneconne, WI 54986 Phone: 920-850-5448 Fax: 920-582-4004 | |
Dr. Samuel John Edward Mcginnis, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 11 N 6th Ave, Winneconne, WI 54986 Phone: 920-850-5448 | |
Mcginnis Chiropractic Office Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11 N. 6th Ave, Winneconne, WI 54986 Phone: 920-582-4364 Fax: 920-582-4004 | |
Dr. Michael James Mcginnis, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 11 N 6th Ave, Winneconne, WI 54986 Phone: 920-582-4364 Fax: 920-582-4004 | |
Winnebago Wellness Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 102 N 13th Ave, Winneconne, WI 54986 Phone: 920-385-9499 |