Individual
BRAD N VEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1260 S 8TH ST, MEDFORD, WI 54451-2069
(715) 748-6969
Mailing address
1260 S 8TH ST, MEDFORD, WI 54451-2069
(715) 748-6969
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3326-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350037849
RAILROAD MEDICARE
WI
05
—
38895500
—
WI
01
—
38988000
MEDICAID GROUP
—
01
—
43650
SECURITY HEALTH PLAN
—
01
—
CB3715
RAILROAD MEDICARE
—
Enumeration date
09/20/2006
Last updated
11/19/2012
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