| Champion Chiropractic | |
|
1115 Wilshire Blvd Stevens Point WI 54481-2257 | |
| (715) 341-2644 | |
| (715) 544-0870 |
| Full Name | Champion Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1115 Wilshire Blvd, Stevens Point, Wisconsin |
| Authorized Official Name and Position | Brittany Rose Larocque (OWNER, D.C.) |
| Authorized Official Contact | 7153412644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Chiropractic 1115 Wilshire Blvd Stevens Point WI 54481-2257 Ph: (715) 341-2644 | Champion Chiropractic 1115 Wilshire Blvd Stevens Point WI 54481-2257 Ph: (715) 341-2644 |
| NPI Number | 1497279368 |
|---|---|
| Provider Enumeration Date | 08/01/2017 |
| Last Update Date | 04/07/2025 |
| Certification Date | 04/07/2025 |
| Medicare PECOS PAC ID | 3870866064 |
|---|---|
| Medicare Enrollment ID | O20170911001208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497279368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Brittany Rose Larocque |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164946026 PECOS PAC ID: 5698048882 Enrollment ID: I20170911001721 |
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