Bayside Chiropractic Llc

LBN: Bayside Chiropractic Llc
Bayside Chiropractic Llc is an health care organization with primary practice located at 1700 Sand Acres Dr Ste 2A , De Pere WI 54115-7562. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Bayside Chiropractic Llc can be contacted via phone (920) 591-0141, or through Piencikowski, Connon Lee via phone (920) 591-0141.

Contact Information

Primary practice address
1700 Sand Acres Dr Ste 2A De Pere WI 54115-7562
Phone: (920) 591-0141
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Piencikowski, Connon Lee
Phone: (920) 591-0141

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4214-012 Wisconsin

Profile Details

NPI number 1659709376
LBN Legal business name Bayside Chiropractic Llc
DBA Doing business as
Authorized official Piencikowski, Connon Lee
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2013
Last updated May 28th, 2020 - about 5 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 1659709376 NPPES
Wisconsin Other K100119441 PTAN

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