Black River Chiropractic Center Sc

LBN: Black River Chiropractic Center Sc
Black River Chiropractic Center Sc is an health care organization with primary practice located at 110 W Wisconsin St , Sparta WI 54656-2314. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Black River Chiropractic Center Sc can be contacted via phone (608) 269-1451, or through Jean, Ruth V via phone (715) 284-2915.

Contact Information

Primary practice address
110 W Wisconsin St Sparta WI 54656-2314
Phone: (608) 269-1451
Fax: (608) 269-1452
Website:
Map and Directions
Authorized official contact:
Name: Jean, Ruth V DC DABCO
Phone: (715) 284-2915

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Wisconsin

Profile Details

NPI number 1326049875
LBN Legal business name Black River Chiropractic Center Sc
DBA Doing business as
Authorized official Jean, Ruth V DC DABCO
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 21st, 2022 - 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 1326049875 NPPES
Wisconsin MEDICAID 38996700

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