Procare Chiropractic S.C.
Organization Active NPI Clinic/Center · Arcadia, WI
NPI 1841489028 · NPPES record last updated Oct 23, 2007
Key facts
- NPI
- 1841489028
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- PROCARE CHIROPRACTIC S.C.
- Practice address
- 308 S Saint Joseph Ave Ste 2
Arcadia, WI 54612-1439 - Phone
- (608) 323-8563
- NPI assigned
- Oct 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Alan Jeffrey Bassuener, D.C.
- Title
- Owner
- Phone
- (608) 323-8563
Practitioners 1
-
Alan J Bassuener, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040518000875 | WI | Part B Supplier - Clinic/Group Practice | 6800886094 |
Receives reassigned benefits from 1 practitioner Practice locations: Arcadia, WI |
National Provider Directory
Locations
308 S Saint Joseph Ave
Arcadia, WI 54612
Phone (608) 323-8563
308 S Saint Joseph Ave
Ste 2
Arcadia, WI 54612
Phone (608) 323-8563
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
308 S Saint Joseph Ave Ste 2
Arcadia, WI 54612-1439
Mailing address
308 S Saint Joseph Ave Ste 2
Arcadia, WI 54612-1439
Phone (608) 323-8563
Other providers in Arcadia, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.