Blau Chiropractic Sc

LBN: Blau Chiropractic Sc
Blau Chiropractic Sc is an health care organization with primary practice located at 641 Latton Ln , Portage WI 53901-1078. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Blau Chiropractic Sc can be contacted via phone (608) 742-1300, or through Blau, Kevin A via phone (608) 742-1300.

Contact Information

Primary practice address
641 Latton Ln Portage WI 53901-1078
Phone: (608) 742-1300
Fax: (608) 745-0147
Website:
Map and Directions
Authorized official contact:
Name: Blau, Kevin A Doctor of Chiropractic (DC)
Phone: (608) 742-1300

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2990 Wisconsin

Profile Details

NPI number 1003003716
LBN Legal business name Blau Chiropractic Sc
DBA Doing business as
Authorized official Blau, Kevin A Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2007
Last updated Nov 13th, 2012 - about 14 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 1003003716 NPPES
Wisconsin MEDICAID 38887700

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