GAVRIC CHIROPRACTIC CLINIC LLC NPI 1174683163

NPI Information

  • NPI: 1174683163
  • Provider Name: GAVRIC CHIROPRACTIC CLINIC, LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 7003 S HOWELL AVE STE 1300
    OAK CREEK, WI
    ZIP 53154
  • Phone: (414) 762-8626

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NPI Details

GAVRIC CHIROPRACTIC CLINIC, LLC is a chiropractor in Oak Creek, 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. GAVRIC CHIROPRACTIC CLINIC, LLC NPI is 1174683163. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7003 S HOWELL AVE STE 1300
OAK CREEK, WI
ZIP 53154
Phone: (414) 762-8626
Fax: (414) 762-8765

The provider's authorized official is Gregory D. Gavric .
The authorized official title is Owner and has the following contact phone number (414) 762-8626.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 10/19/2018.

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
1111N00000XChiropractor2141WISCONSINYes

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
138840600MEDICAIDWISCONSIN

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: 3/30/2025

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