Peninsula Chiropractic Center Inc.

LBN: Peninsula Chiropractic Center Inc.
Peninsula Chiropractic Center Inc. is an health care organization with primary practice located at 331 Kentucky St , Sturgeon Bay WI 54235-2419. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Peninsula Chiropractic Center Inc. can be contacted via phone (920) 743-6919, or through Arnold, Randal E via phone (920) 743-6919.

Contact Information

Primary practice address
331 Kentucky St Sturgeon Bay WI 54235-2419
Fax: (920) 746-0619
Website:
Authorized official contact:
Name: Arnold, Randal E Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1763-012 Wisconsin

Profile Details

NPI number 1417145830
LBN Legal business name Peninsula Chiropractic Center Inc.
DBA Doing business as
Authorized official Arnold, Randal E Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2007
Last updated Oct 10th, 2007 - about 18 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 1417145830 NPPES
Other 38995000 MEDICAID PRACTICE IDENTIF
Other 0003 MEDICAID PRACTICE IDENTIF
Other 38783400 MEDICAID PRACTICE IDENTIF

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