BAY CARE COMPLEMENTARY HEALTH NPI 1780774760

NPI Information

BAY CARE COMPLEMENTARY HEALTH 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. BAY CARE COMPLEMENTARY HEALTH NPI is 1780774760. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2845 GREENBRIER RD
GREEN BAY, WI
ZIP 54311-519
Phone: (920) 288-8383
Fax: (920) 288-8385

The provider's authorized official is Wade D Skogman .
The authorized official title is Treasurer and has the following contact phone number (920) 288-8383.

The CLIA number assigned to this NPI record is 52D2188992 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 8/22/2020.

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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