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BEAVER DAM COMMUNITY HOSPITALS INC NPI 1306389408


NPI Information

NPI: 1306389408
Provider Name: BEAVER DAM COMMUNITY HOSPITALS INC

Doing Business As: (INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
211 CORPORATE DR
SUITE H
BEAVER DAM, WI
ZIP 53916
Phone: (920) 821-0071
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BEAVER DAM COMMUNITY HOSPITALS INC is a chiropractor in Beaver Dam, 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. BEAVER DAM COMMUNITY HOSPITALS INC NPI is 1306389408. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As (inactive) Marshfield Medical Center - Beaver Dam Chiropractic.

The provider's business location address is:

211 CORPORATE DR
SUITE H
BEAVER DAM, WI
ZIP 53916
Phone: (920) 821-0071
Fax: (920) 821-0072

The provider's authorized official is Gordon T Edwards .
The authorized official title is Cfo/coo/ao and has the following contact phone number (715) 387-5823.

The enumeration date for this NPI number is 11/22/2016 and was last updated on 3/2/2022.


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
1111N00000XChiropractorYes

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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