Gill Family Chiropractic

LBN: Gill Family Chiropractic
Gill Family Chiropractic is an health care organization with primary practice located at 104 E Walworth Ave Suite 102, Delavan WI 53115-1146. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Gill Family Chiropractic can be contacted via phone (262) 725-7325, or through Gill, Tara Marie via phone (262) 725-7325.

Contact Information

Primary practice address
104 E Walworth Ave Suite 102 Delavan WI 53115-1146
Phone: (262) 725-7325
Fax: (888) 556-3358
Website:
Map and Directions
Authorized official contact:
Name: Gill, Tara Marie Doctor of Chiropractic (DC)
Phone: (262) 725-7325

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1048012 Wisconsin

Profile Details

NPI number 1720318264
LBN Legal business name Gill Family Chiropractic
DBA Doing business as
Authorized official Gill, Tara Marie Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2010
Last updated Jun 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720318264 NPPES
Wisconsin MEDICAID 38961000

Popular Providers