Sports & Family Chiropractic Clinic
LBN: Dr Thomas J Solecki Jr Sc
Sports & Family Chiropractic Clinic is an health care organization with primary practice located at 6123 Green Bay Rd Suite 140, Kenosha WI 53142-2927. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Dr Thomas J Solecki Jr Sc can be contacted via phone (262) 653-9208, or through Counterman, Michelle Elizabeth via phone (262) 925-9000.
Contact Information
Primary practice address
6123 Green Bay Rd Suite 140
Kenosha WI 53142-2927
Phone: (262) 653-9208
Fax: (262) 653-9264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3590 | Wisconsin |
| Chiropractic Providers / Chiropractor | 111N00000X | 038009230 | Illinois |
Profile Details
| NPI number | 1629063458 |
|---|---|
| LBN Legal business name | Dr Thomas J Solecki Jr Sc |
| DBA Doing business as | Sports & Family Chiropractic Clinic |
| Authorized official | Counterman, Michelle Elizabeth |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Sep 18th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629063458 | NPPES |
| Wisconsin | MEDICAID | 38910800 | |
| Wisconsin | Other | 398964451007 |
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