Organization
BRE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BREANNA R BALLWEG DC (CHIROPRACTOR)
(608) 630-9040
Entity
Organization
Contact information
Practice address
621 S GAMMON RD, MADISON, WI 53719-1371
(608) 630-9040
(608) 630-9060
Mailing address
621 S GAMMON RD, MADISON, WI 53719-1371
(608) 630-9040
(608) 630-9060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4875-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100022189
—
WI
01
—
W12807
MEDICARE ORGANIZATION PTAN
WI
01
—
W12807001
MEDICARE PTAN
WI
Enumeration date
03/20/2012
Last updated
08/16/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us