BLACK CREEK CHIROPRACTIC OFFICE LLC NPI 1730578915

NPI Information

  • NPI: 1730578915
  • Provider Name: BLACK CREEK CHIROPRACTIC OFFICE LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 411 S MAIN ST
    BLACK CREEK, WI
    ZIP 54106
  • Phone: (920) 984-3353

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NPI Details

BLACK CREEK CHIROPRACTIC OFFICE LLC is a chiropractor in Black Creek, 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. BLACK CREEK CHIROPRACTIC OFFICE LLC NPI is 1730578915. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

411 S MAIN ST
BLACK CREEK, WI
ZIP 54106-501
Phone: (920) 984-3353
Fax: (920) 984-3354

The provider's authorized official is Darrel D Klemp .
The authorized official title is Sole Member and has the following contact phone number (920) 984-3353.

The enumeration date for this NPI number is 1/12/2015 and was last updated on 1/12/2015.

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 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: 3/30/2025

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