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CHIROPRACTIC CARE CENTERS S.C. NPI 1356482822


NPI Information

NPI: 1356482822
Provider Name: CHIROPRACTIC CARE CENTERS, S.C.

Doing Business As: CHIROPRACTIC CARE CENTER - JEFFERSON

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
109 E MILWAUKEE ST
JEFFERSON, WI
ZIP 53549
Phone: (920) 674-6627
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CHIROPRACTIC CARE CENTERS, S.C. is a chiropractor in Jefferson, 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. CHIROPRACTIC CARE CENTERS, S.C. NPI is 1356482822. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Chiropractic Care Center - Jefferson.

The provider's business location address is:

109 E MILWAUKEE ST
JEFFERSON, WI
ZIP 53549-635
Phone: (920) 674-6627
Fax: (920) 674-6632

The provider's authorized official is Rhys Marohn .
The authorized official title is Business Manager and has the following contact phone number (920) 980-3786.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 7/19/2013.


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
1111N00000XChiropractorYes

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
1000035657MEDICARE ID-TYPE UNSPECIFIEDWISCONSINMDEICARE GROUP NUMBER

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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