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CODY CHIROPRACTIC WELLNESS CENTER LLC NPI 1508053307


NPI Information

NPI: 1508053307
Provider Name: CODY CHIROPRACTIC WELLNESS CENTER LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
462 WATER ST
PRAIRIE DU SAC, WI
ZIP 53578
Phone: (608) 643-5060
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CODY CHIROPRACTIC WELLNESS CENTER LLC is a chiropractor in Prairie Du Sac, 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. CODY CHIROPRACTIC WELLNESS CENTER LLC NPI is 1508053307. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

462 WATER ST
PRAIRIE DU SAC, WI
ZIP 53578-127
Phone: (608) 643-5060

The provider's authorized official is Jonathan Cody .
The authorized official title is Member and has the following contact phone number (608) 643-5060.

The enumeration date for this NPI number is 9/26/2007 and was last updated on 4/22/2015.


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
1111N00000XChiropractor4031012WISCONSINYes

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
1000035633MEDICARE PIN
238954600MEDICAIDWISCONSIN

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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