Genesis Chiropractic Clinic, Inc.

LBN: Genesis Chiropractic Clinic, Inc.
Genesis Chiropractic Clinic, Inc. is an health care organization with primary practice located at 1024 60Th St , Kenosha WI 53140-4099. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Genesis Chiropractic Clinic, Inc. can be contacted via phone (262) 657-7744, or through Esposito, Daniel Charles via phone (262) 657-7744.

Contact Information

Primary practice address
1024 60Th St Kenosha WI 53140-4099
Phone: (262) 657-7744
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Esposito, Daniel Charles Doctor of Chiropractic (DC)
Phone: (262) 657-7744

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3168-12 Wisconsin

Profile Details

NPI number 1770650566
LBN Legal business name Genesis Chiropractic Clinic, Inc.
DBA Doing business as
Authorized official Esposito, Daniel Charles Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Aug 22nd, 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 1770650566 NPPES
Wisconsin MEDICAID 38887800

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