Kelley Chiropractic Center

LBN: Kelley Chiropractic Center
Kelley Chiropractic Center is an health care organization with primary practice located at 1503 Larson St , Bloomer WI 54724-1632. The organization recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as the primary health care specialty. Kelley Chiropractic Center can be contacted via phone (715) 568-4220, or through Swartz, Jodi via phone (715) 568-4220.

Contact Information

Primary practice address
1503 Larson St Bloomer WI 54724-1632
Phone: (715) 568-4220
Fax: (715) 568-4201
Website:
Map and Directions
Authorized official contact:
Name: Swartz, Jodi
Phone: (715) 568-4220

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 2014-012 Wisconsin

Profile Details

NPI number 1548305022
LBN Legal business name Kelley Chiropractic Center
DBA Doing business as
Authorized official Swartz, Jodi
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Feb 1st, 2021 - about 3 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 1548305022 NPPES
Wisconsin MEDICAID 38796100
Wisconsin Other 392035966010

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