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NPI Code Detail

MEDICARE: DR. JAMES JOSEPH PICHOTTA D.C.

MEDICARE:  DR. JAMES JOSEPH PICHOTTA  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor4294-012WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659570513
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES JOSEPH PICHOTTA D.C.
Provider Business Mailing Address
First Line : 648 S GAMMON RD
Second Line :
City : MADISON
State : WI
Zip : 53719-1370
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 648 S GAMMON RD
Second Line :
City : MADISON
State : WI
Zip : 53719-1370
Country : US
Telephone Number : 608-441-3455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2007
Last Update Date : 10/24/2007

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Directions to “ DR. JAMES JOSEPH PICHOTTA D.C.” Practice Location

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