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ADVANTAGE CHIROPRACTIC CLINIC OF GREEN BAY S.C. NPI 1679616148


NPI Information

NPI: 1679616148
Provider Name: ADVANTAGE CHIROPRACTIC CLINIC OF GREEN BAY, S.C.

Doing Business As: METZLER & RAIHALA CHIROPRACTIC CLINIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1804 S ASHLAND AVE
GREEN BAY, WI
ZIP 54304
Phone: (920) 432-7774
Get Directions

ADVANTAGE CHIROPRACTIC CLINIC OF GREEN BAY, S.C. is a chiropractor in Green Bay, 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. ADVANTAGE CHIROPRACTIC CLINIC OF GREEN BAY, S.C. NPI is 1679616148. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Metzler & Raihala Chiropractic Clinic.

The provider's business location address is:

1804 S ASHLAND AVE
GREEN BAY, WI
ZIP 54304-702
Phone: (920) 432-7774
Fax: (920) 432-7784

The provider's authorized official is Cheryl Ann Metzler .
The authorized official title is Owner and has the following contact phone number (920) 432-7774.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 12/3/2012.


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
1111N00000XChiropractorWISCONSINYes

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
1000035550MEDICARE ID-TYPE UNSPECIFIEDWISCONSINMEDICARE NUMBER
2DD1169OTHERWISCONSINRAILROAD GROUP NUMBER
33917553140OTHERWISCONSINBCBS 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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