WEST SIDE CHIROPRACTIC CLINIC SC NPI 1780748459

NPI Information

WEST SIDE CHIROPRACTIC CLINIC SC 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. WEST SIDE CHIROPRACTIC CLINIC SC NPI is 1780748459. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2311 W MASON ST
GREEN BAY, WI
ZIP 54303-708
Phone: (920) 494-1613

The provider's authorized official is Michael James Rockstroh .
The authorized official title is President Owner and has the following contact phone number (920) 494-1613.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 3/16/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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