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DR THOMAS J SOLECKI JR SC NPI 1629063458


NPI Information

NPI: 1629063458
Provider Name: DR THOMAS J SOLECKI JR SC

Doing Business As: SPORTS & FAMILY CHIROPRACTIC CLINIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6123 GREEN BAY RD
SUITE 140
KENOSHA, WI
ZIP 53142
Phone: (262) 653-9208
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DR THOMAS J SOLECKI JR SC is a chiropractor in Kenosha, 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. DR THOMAS J SOLECKI JR SC NPI is 1629063458. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sports & Family Chiropractic Clinic.

The provider's business location address is:

6123 GREEN BAY RD
SUITE 140
KENOSHA, WI
ZIP 53142-927
Phone: (262) 653-9208
Fax: (262) 653-9264

The provider's authorized official is Michelle Elizabeth Counterman .
The authorized official title is Business Manager and has the following contact phone number (262) 925-9000.

The enumeration date for this NPI number is 9/19/2005 and was last updated on 9/18/2008.


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
1111N00000XChiropractor038009230ILLINOISNo
2111N00000XChiropractor3590WISCONSINYes

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
1U74341MEDICARE UPIN
2398964451007OTHERBCBS OF WI
3000135650MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
438910800MEDICAIDWISCONSIN

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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