Advanced Spine Center
LBN: Brett Egelseer
Advanced Spine Center is an health care organization with primary practice located at 11203 N Buntrock Ave Suite 100, Mequon WI 53092-1857. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Brett Egelseer can be contacted via phone (262) 512-1661, or through Boy, Jennifer C via phone (920) 467-6281.
Contact Information
Primary practice address
11203 N Buntrock Ave Suite 100
Mequon WI 53092-1857
Phone: (262) 512-1661
Fax: (262) 512-1663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2649-012 | Wisconsin |
Profile Details
| NPI number | 1851570725 |
|---|---|
| LBN Legal business name | Brett Egelseer |
| DBA Doing business as | Advanced Spine Center |
| Authorized official | Boy, Jennifer C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 29th, 2007 |
| Last updated | Apr 20th, 2008 - 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 | 1851570725 | NPPES |
| Wisconsin | MEDICAID | 38898300 |
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