Mr. Bradley Allen Kothlow is a Balsam Lake, Wisconsin based male chiropractor with 40 years of experience in General Chiropractor. He completed his graduation from Northwestern College Of Chiropractic in 1985. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Mr. Bradley Allen Kothlow as General Chiropractor is 2016012 in Wisconsin. Mr. Bradley Allen Kothlow is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Mr. Bradley Allen Kothlow speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
40+ years
Medical School Attended:
Northwestern College Of Chiropractic
Graduation Year:
1985
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
314 Main St, Balsam Lake, Wisconsin, 54810-7262
Phone:
715-485-3575
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1951580109
Enrollment ID:
I20110120000633
NPI Number:
1447335609
NPI Enumeration Date:
26 Oct, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Bradley Allen Kothlow are as mentioned below.
License Number
Specialization
State
Status
2016012
Chiropractor
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Bradley Allen Kothlow such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
38789500
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
138 Pleasant Ave, Balsam Lake, Wisconsin
Zip:
54810-9019
Phone Number:
715-485-9352
Fax Number:
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Patients can reach Mr. Bradley Allen Kothlow at 314 Main St, Balsam Lake, Wisconsin or can call to book an appointment on 715-485-3575. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.
Comments/ Reviews:
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