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CHURCH CHIROPRACTIC CLINIC LLC NPI 1013175314


NPI Information

NPI: 1013175314
Provider Name: CHURCH CHIROPRACTIC CLINIC, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1515 MOUNT ZION AVE
JANESVILLE, WI
ZIP 53545
Phone: (608) 754-6111
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CHURCH CHIROPRACTIC CLINIC, LLC is a health service clinic center in Janesville, WI. CHURCH CHIROPRACTIC CLINIC, LLC NPI is 1013175314. The provider is registered as an organization entity type.

The provider's business location address is:

1515 MOUNT ZION AVE
JANESVILLE, WI
ZIP 53545-111
Phone: (608) 754-6111

The provider's authorized official is John E Church .
The authorized official title is Managing Member and has the following contact phone number (608) 754-6111.

The enumeration date for this NPI number is 5/23/2008 and was last updated on 5/23/2008.


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
1261QH0100XClinic/CenterHealth Service1444012WISCONSINYes

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
1T61668MEDICARE UPINWISCONSIN
238755700MEDICAIDWISCONSIN
3000070134MEDICARE PINWISCONSIN

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: 5/5/2024
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