Breyan Radeck Dc, Llc

LBN: Breyan Radeck Dc, Llc
Breyan Radeck Dc, Llc is an health care organization with primary practice located at 2717 N Grandview Blvd Ste 101 , Waukesha WI 53188-1672. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Breyan Radeck Dc, Llc can be contacted via phone (262) 349-9370, or through Radeck, Breyan via phone (262) 349-9370.

Contact Information

Primary practice address
2717 N Grandview Blvd Ste 101 Waukesha WI 53188-1672
Phone: (262) 349-9370
Fax: (262) 349-9729
Website:
Map and Directions
Authorized official contact:
Name: Radeck, Breyan Doctor of Chiropractic (DC)
Phone: (262) 349-9370

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4494012 Wisconsin

Profile Details

NPI number 1043564610
LBN Legal business name Breyan Radeck Dc, Llc
DBA Doing business as
Authorized official Radeck, Breyan Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2012
Last updated Jun 27th, 2019 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043564610 NPPES
Wisconsin MEDICAID 1043453426

Popular Providers