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MICHAEL CHIROPRACTIC CENTER SC NPI 1770644163


NPI Information

NPI: 1770644163
Provider Name: MICHAEL CHIROPRACTIC CENTER SC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
405 N CALHOUN RD
SUITE 105
BROOKFIELD, WI
ZIP 53005
Phone: (262) 785-1233
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MICHAEL CHIROPRACTIC CENTER SC is a chiropractor in Brookfield, 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. MICHAEL CHIROPRACTIC CENTER SC NPI is 1770644163. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

405 N CALHOUN RD
SUITE 105
BROOKFIELD, WI
ZIP 53005
Phone: (262) 785-1233
Fax: (262) 785-1258

The provider's authorized official is Mark A Michael .
The authorized official title is President Michael Chiropractic Cntr and has the following contact phone number (262) 785-1233.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 8/31/2011.


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
1111N00000XChiropractor1918012WISCONSINYes

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
1402681OTHERWISCONSINEMPL ID
2606473100OTHERWISCONSINDEPT LABOR
3T62764MEDICARE UPINWISCONSIN
4=========014OTHERWISCONSINBCBS
5000062764MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
638838100MEDICAIDWISCONSIN

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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