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FAMILY CHIROPRACTIC CLINIC INC NPI 1083735583


NPI Information

NPI: 1083735583
Provider Name: FAMILY CHIROPRACTIC CLINIC INC

Doing Business As: MADISON CHIROPRACTIC NORTH

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2205 N SHERMAN AVE
MADISON, WI
ZIP 53704
Phone: (608) 244-0044
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FAMILY CHIROPRACTIC CLINIC INC is a chiropractor in Madison, WI. The provider is a provider qualified by 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. FAMILY CHIROPRACTIC CLINIC INC NPI is 1083735583. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Madison Chiropractic North.

The provider's business location address is:

2205 N SHERMAN AVE
MADISON, WI
ZIP 53704-310
Phone: (608) 244-0044

The provider's authorized official is Brent Mcnabb .
The authorized official title is Chiropractor and has the following contact phone number (608) 244-0044.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 11/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor1579WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11619OTHERWISCONSINROSS ROYSTER LICENSE
21579OTHERWISCONSINBRENT MCNABB LICENSE
31346212099OTHERWISCONSINDANIEL SODERHOLM NPI
41356313001OTHERWISCONSINBRENT MCNABB NPI
5T62730MEDICARE UPINWISCONSIN
61692OTHERWISCONSINDANIEL SODERHOLM LICENSE
7000190217MEDICARE ID-TYPE UNSPECIFIEDWISCONSINBRENT MCNABB
838777500MEDICAIDWISCONSIN
91083686737OTHERWISCONSINROSS ROYSTER NPI
10T63158MEDICARE UPINWISCONSIN
11000290217MEDICARE ID-TYPE UNSPECIFIEDWISCONSINROSS ROYSTER
1238767400MEDICAIDWISCONSIN
13T63372MEDICARE UPINWISCONSIN
14000390217MEDICARE ID-TYPE UNSPECIFIEDWISCONSINDANIEL SODERHOLM
1538767300MEDICAIDWISCONSIN
16000090217MEDICARE ID-TYPE UNSPECIFIEDWISCONSINGROUP ID
17=========014OTHERWISCONSINBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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