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ESSENTIAL CHIROPRACTIC LLC NPI 1912200965


NPI Information

NPI: 1912200965
Provider Name: ESSENTIAL CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2170 VELP AVE STE 105
GREEN BAY, WI
ZIP 54303
Phone: (920) 471-8973
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ESSENTIAL CHIROPRACTIC LLC 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. ESSENTIAL CHIROPRACTIC LLC NPI is 1912200965. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2170 VELP AVE STE 105
GREEN BAY, WI
ZIP 54303-596
Phone: (920) 471-8973
Fax: (920) 465-6760

The provider's authorized official is Kay A Fogeltanz .
The authorized official title is Owner/manager and has the following contact phone number (920) 471-8973.

The enumeration date for this NPI number is 12/14/2010 and was last updated on 4/25/2023.


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
1111N00000XChiropractor3574-12WISCONSINYes

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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