Healthsource Of New Berlin

LBN: Stafford Chiropractic
Healthsource Of New Berlin is an health care organization with primary practice located at 3333 S Sunnyslope Rd 108, New Berlin WI 53151-4502. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Stafford Chiropractic can be contacted via phone (262) 785-1811, or through Stafford, Michelle via phone (262) 785-1811.

Contact Information

Primary practice address
3333 S Sunnyslope Rd 108 New Berlin WI 53151-4502
Fax: (262) 785-9887
Website:
Authorized official contact:
Name: Stafford, Michelle Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3258 Wisconsin

Profile Details

NPI number 1871620310
LBN Legal business name Stafford Chiropractic
DBA Doing business as Healthsource Of New Berlin
Authorized official Stafford, Michelle Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Jan 27th, 2017 - about 8 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 1871620310 NPPES
Wisconsin MEDICAID 38921800

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