Chiro-Med West Town Sc

LBN: Chiro-Med West Town Sc
Chiro-Med West Town Sc is an health care organization with primary practice located at 6708 Odana Rd Ste B, Madison WI 53719-1066. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Chiro-Med West Town Sc can be contacted via phone (608) 826-9090, or through Brockman, Dale W via phone (608) 826-9090.

Contact Information

Primary practice address
6708 Odana Rd Ste B Madison WI 53719-1066
Fax:
Website:
Authorized official contact:
Name: Brockman, Dale W Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2219 Wisconsin

Profile Details

NPI number 1942499520
LBN Legal business name Chiro-Med West Town Sc
DBA Doing business as
Authorized official Brockman, Dale W Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2007
Last updated Dec 30th, 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 1942499520 NPPES
Wisconsin MEDICAID 38798900

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