Van Drisse Chiropractic Center Llc
LBN: Van Drisse Chiropractic Center Llc
Van Drisse Chiropractic Center Llc is an health care organization with primary practice located at 502A George St , De Pere WI 54115-2714. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Van Drisse Chiropractic Center Llc can be contacted via phone (920) 337-0103, or through Van Drisse, David M via phone (920) 337-0103.
Contact Information
Primary practice address
502A George St
De Pere WI 54115-2714
Phone: (920) 337-0103
Fax: (920) 338-9066
Website:
Authorized official contact:
Name: Van Drisse, David M Doctor of Chiropractic (DC)
Phone: (920) 337-0103
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3145-012 | Wisconsin |
Profile Details
| NPI number | 1194913434 |
|---|---|
| LBN Legal business name | Van Drisse Chiropractic Center Llc |
| DBA Doing business as | |
| Authorized official | Van Drisse, David M Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2007 |
| Last updated | Oct 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194913434 | NPPES |
| Wisconsin | MEDICAID | 38921100 |
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