Jacquette Chiropractic Sc

LBN: Jacquette Chiropractic Sc
Jacquette Chiropractic Sc is an health care organization with primary practice located at 13740 W Capitol Dr , Brookfield WI 53005-2407. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Jacquette Chiropractic Sc can be contacted via phone (262) 781-3332, or through Jacquette, Mark R via phone (262) 781-3332.

Contact Information

Primary practice address
13740 W Capitol Dr Brookfield WI 53005-2407
Phone: (262) 781-3332
Fax: (262) 781-6477
Website:
Map and Directions
Authorized official contact:
Name: Jacquette, Mark R Doctor of Chiropractic (DC)
Phone: (262) 781-3332

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Wisconsin

Profile Details

NPI number 1861565814
LBN Legal business name Jacquette Chiropractic Sc
DBA Doing business as
Authorized official Jacquette, Mark R Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Apr 21st, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861565814 NPPES
Wisconsin MEDICAID 38999000

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