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CASCO FAMILY CHIROPRACTIC CLINIC NPI 1891867677


NPI Information

NPI: 1891867677
Provider Name: CASCO FAMILY CHIROPRACTIC CLINIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
E3447 SWAMP LN
KEWAUNEE, WI
ZIP 54216
Phone: (920) 388-0499
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CASCO FAMILY CHIROPRACTIC CLINIC is a chiropractor in Kewaunee, 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. CASCO FAMILY CHIROPRACTIC CLINIC NPI is 1891867677. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

E3447 SWAMP LN
KEWAUNEE, WI
ZIP 54216-770
Phone: (920) 388-0499
Fax: (920) 388-0499

The provider's authorized official is Jamie Hollis-heiman .
The authorized official title is Owner and has the following contact phone number (920) 388-0499.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 3/4/2010.


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
1111N00000XChiropractor3816-012WISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000033055MEDICARE ID-TYPE UNSPECIFIEDWISCONSINMEDICARE GROUP 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: 5/5/2024

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