Organization
COTTAGE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN POCHEL D.C. (OWNER CHIROPRACTOR)
(608) 839-1172
Entity
Organization
Contact information
Practice address
204 W COTTAGE GROVE RD, COTTAGE GROVE, WI 53527-9211
(608) 839-1172
Mailing address
204 W COTTAGE GROVE RD, COTTAGE GROVE, WI 53527-9211
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3584
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38909700
—
WI
01
—
391956430014
BC BS
WI
Enumeration date
05/14/2007
Last updated
08/22/2020
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