West Side Chiropractic Clinic Sc

LBN: West Side Chiropractic Clinic Sc
West Side Chiropractic Clinic Sc is an health care organization with primary practice located at 2311 W Mason St , Green Bay WI 54303-4708. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. West Side Chiropractic Clinic Sc can be contacted via phone (920) 494-1613, or through Rockstroh, Michael James via phone (920) 494-1613.

Contact Information

Primary practice address
2311 W Mason St Green Bay WI 54303-4708
Phone: (920) 494-1613
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rockstroh, Michael James Doctor of Chiropractic (DC)
Phone: (920) 494-1613

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2319 012 Wisconsin

Profile Details

NPI number 1780748459
LBN Legal business name West Side Chiropractic Clinic Sc
DBA Doing business as
Authorized official Rockstroh, Michael James Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Mar 16th, 2012 - about 13 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 1780748459 NPPES
Wisconsin MEDICAID 38835500

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