Performance Chiropractic Llc

LBN: Performance Chiropractic Llc
Performance Chiropractic Llc is an health care organization with primary practice located at 825 S Huron Rd Ste H , Green Bay WI 54311-8029. The organization recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as the primary health care specialty. Performance Chiropractic Llc can be contacted via phone (920) 406-8700, or through Belleau, Timothy James via phone (920) 406-8700.

Contact Information

Primary practice address
825 S Huron Rd Ste H Green Bay WI 54311-8029
Phone: (920) 406-8700
Fax: (920) 406-8712
Website:
Map and Directions
Authorized official contact:
Name: Belleau, Timothy James BS, DC, CCSP, CKTP
Phone: (920) 406-8700

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 2670-012 Wisconsin

Profile Details

NPI number 1336292614
LBN Legal business name Performance Chiropractic Llc
DBA Doing business as
Authorized official Belleau, Timothy James BS, DC, CCSP, CKTP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1336292614 NPPES
Wisconsin MEDICAID 38868000

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