Wisconsin Spinal Correction Center Llc

LBN: Clover Chiropractic Llc
Wisconsin Spinal Correction Center Llc is an health care organization with primary practice located at 1576 Lyon Dr , Neenah WI 54956-5069. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Clover Chiropractic Llc can be contacted via phone (920) 722-7947, or through Clover, Matthew via phone (920) 722-7947.

Contact Information

Primary practice address
1576 Lyon Dr Neenah WI 54956-5069
Phone: (920) 722-7947
Fax: (920) 722-7949
Website:
Map and Directions
Authorized official contact:
Name: Clover, Matthew Doctor of Chiropractic (DC)
Phone: (920) 722-7947

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4089-012 Wisconsin

Profile Details

NPI number 1407919525
LBN Legal business name Clover Chiropractic Llc
DBA Doing business as Wisconsin Spinal Correction Center Llc
Authorized official Clover, Matthew Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Mar 26th, 2013 - about 11 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 1407919525 NPPES
Wisconsin MEDICAID 38966100

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