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APPLE CLINIC SC NPI 1275566606


NPI Information

NPI: 1275566606
Provider Name: APPLE CLINIC SC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
814 JAY ST
MANITOWOC, WI
ZIP 54220
Phone: (920) 686-0328
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APPLE CLINIC SC is a chiropractor in Manitowoc, 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. APPLE CLINIC SC NPI is 1275566606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

814 JAY ST
MANITOWOC, WI
ZIP 54220-520
Phone: (920) 686-0328
Fax: (920) 686-1035

The provider's authorized official is Jennifer Linn Rada .
The authorized official title is Owner/chiropractor and has the following contact phone number (920) 686-0328.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 12/28/2012.


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
1111N00000XChiropractor3703012WISCONSINYes

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
1U82031MEDICARE UPIN
238927900MEDICAIDWISCONSIN
3000038135MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN

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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