CLINTON CHIROPRACTIC CLINIC SC NPI 1003813817

NPI Information

  • NPI: 1003813817
  • Provider Name: CLINTON CHIROPRACTIC CLINIC SC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Other Name: CLINTON CHIROPRACTIC CLINIC SC
  • Address: 400 OGDEN AVE
    CLINTON, WI
    ZIP 53525
  • Phone: (608) 676-2210

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NPI Details

CLINTON CHIROPRACTIC CLINIC SC is a chiropractor in Clinton, 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. CLINTON CHIROPRACTIC CLINIC SC NPI is 1003813817. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Clinton Chiropractic Clinic Sc.

The provider's business location address is:

400 OGDEN AVE
CLINTON, WI
ZIP 53525-005
Phone: (608) 676-2210
Fax: (608) 676-5947

The provider's authorized official is Brian D Dittmann .
The authorized official title is Owner Operator and has the following contact phone number (608) 676-2210.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 11/18/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor3029012WISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100035809MEDICARE PINWISCONSIN
2U48813MEDICARE UPIN

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: 11/21/2025

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