Advanced Chiropractic Of Green Bay Llc

LBN: Advanced Chiropractic Of Green Bay Llc
Advanced Chiropractic Of Green Bay Llc is an health care organization with primary practice located at 2149 Velp Ave Suite 300, Green Bay WI 54303-5424. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Advanced Chiropractic Of Green Bay Llc can be contacted via phone (920) 434-7393, or through Pursel, Kevin J via phone (920) 434-7393.

Contact Information

Primary practice address
2149 Velp Ave Suite 300 Green Bay WI 54303-5424
Phone: (920) 434-7393
Fax: (920) 434-7394
Website:
Map and Directions
Authorized official contact:
Name: Pursel, Kevin J Doctor of Chiropractic (DC)
Phone: (920) 434-7393

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3102 Wisconsin

Profile Details

NPI number 1780958637
LBN Legal business name Advanced Chiropractic Of Green Bay Llc
DBA Doing business as
Authorized official Pursel, Kevin J Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2012
Last updated Feb 23rd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780958637 NPPES
Wisconsin MEDICAID 388-78-200

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