Wiesztort Family Chiropractic Clinic, S.C.

LBN: Wiesztort Family Chiropractic Clinic, S.C.
Wiesztort Family Chiropractic Clinic, S.C. is an health care organization with primary practice located at 4014 77Th St Ste 2 , Kenosha WI 53142-4314. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Wiesztort Family Chiropractic Clinic, S.C. can be contacted via phone (262) 694-3530, or through Wiesztort, Walter Rudolph via phone (262) 694-3530.

Contact Information

Primary practice address
4014 77Th St Ste 2 Kenosha WI 53142-4314
Phone: (262) 694-3530
Fax: (262) 925-8810
Website:
Map and Directions
Authorized official contact:
Name: Wiesztort, Walter Rudolph Doctor of Chiropractic (DC)
Phone: (262) 694-3530

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3514 Wisconsin

Profile Details

NPI number 1033281167
LBN Legal business name Wiesztort Family Chiropractic Clinic, S.C.
DBA Doing business as
Authorized official Wiesztort, Walter Rudolph Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Apr 22nd, 2008 - about 17 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 1033281167 NPPES
Wisconsin MEDICAID 38911900

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