Bay Area Chiropractic Sc

LBN: Bay Area Chiropractic Sc
Bay Area Chiropractic Sc is an health care organization with primary practice located at 1441 Bellevue St , Green Bay WI 54311-5605. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Neurology. Chiropractic Providers / Chiropractor is the primary health care specialty. Bay Area Chiropractic Sc can be contacted via phone (920) 468-1963, or through Servais, Robert A via phone (920) 468-1963.

Contact Information

Primary practice address
1441 Bellevue St Green Bay WI 54311-5605
Fax: (920) 468-9785
Website:
Authorized official contact:
Name: Servais, Robert A Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4055012 Wisconsin
Chiropractic Providers / Neurology 111NN0400X 1783012 Wisconsin

Profile Details

NPI number 1104804012
LBN Legal business name Bay Area Chiropractic Sc
DBA Doing business as
Authorized official Servais, Robert A Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2006
Last updated Feb 19th, 2010 - about 15 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 1104804012 NPPES
Wisconsin MEDICAID 39001100

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