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PAULSON CHIROPRACTIC CLINIC LLC NPI 1215364211


NPI Profile

NPI: 1215364211
Provider Name: PAULSON CHIROPRACTIC CLINIC, LLC
Classification:Chiropractor - 111N00000X
Entity Type: Organization
Address:
336 3RD AVE
CLEAR LAKE, WI
ZIP 54005
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Phone: (715) 263-2313

PAULSON CHIROPRACTIC CLINIC, LLC is a chiropractor in Clear Lake, 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. PAULSON CHIROPRACTIC CLINIC, LLC NPI is 1215364211. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

336 3RD AVE
CLEAR LAKE, WI
ZIP 54005-581
Phone: (715) 263-2313

The provider's authorized official is Brent Richard Paulson .
The authorized official title is Chiropractor and has the following contact phone number (715) 263-2313.

The enumeration date for this NPI number is 10/4/2013 and was last updated on 10/4/2013.


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
1111N00000XChiropractor4949WISCONSINYes

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: 4/11/2021

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