Jessica M Tulachka (NPI# 1659601292, PAC ID# 0345374245) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1659601292 |
PAC ID by PECOS | 0345374245 |
Professional Enrollment ID | I20100813000808 |
Full Name | Jessica M Tulachka |
Organization Legal Name | BLAU CHIROPRACTIC SC |
Address |
641 Latton Ln A Portage WI 53901-1078 |
Phone Number | 6087421300 |
Gender | F |
Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
Graduation Year | 2010 |
Primary Specialty | CHIROPRACTIC |
Group Practice PAC ID | 2769498104 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
641 Latton Ln A, Portage, WI 53901-1078 | 6087421300 | BLAU CHIROPRACTIC SC |
Organization Legal Name | BLAU CHIROPRACTIC SC |
Physicians | 1 |
Street Address |
641 LATTON LN A |
City | PORTAGE |
State | WI |
Zip | 53901-1078 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kevin A Blau | Chiropractic | 641 Latton Ln A, Portage, WI 53901-1078 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sam Joseph Lubner | Medical Oncology | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
Titus L Dutcher | Family Medicine | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
Jamie J Kling | Family Medicine | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
Trisha Lynn Mccormick | Family Medicine | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
Brie Strook | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
Tripti Singh | Nephrology | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
Hema Patel | Family Medicine | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
Timothy A Mical Deering | Family Medicine | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
Jessica Young | Internal Medicine | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
Jon S Matsumura | Vascular Surgery | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
Find all physicians in zip 53901 |
City | PORTAGE |
Zip Code | 53901 |
Specialty | CHIROPRACTIC |
City + Specialty | PORTAGE + CHIROPRACTIC |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.