Chiro-Med West Town Sc
LBN: Chiro-Med West Town Sc
Chiro-Med West Town Sc is an health care organization with primary practice located at 6708 Odana Rd Ste B, Madison WI 53719-1066. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Chiro-Med West Town Sc can be contacted via phone (608) 826-9090, or through Brockman, Dale W via phone (608) 826-9090.
Contact Information
Primary practice address
6708 Odana Rd Ste B
Madison WI 53719-1066
Phone: (608) 826-9090
Fax:
Website:
Authorized official contact:
Name: Brockman, Dale W Doctor of Chiropractic (DC)
Phone: (608) 826-9090
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2219 | Wisconsin |
Profile Details
| NPI number | 1942499520 |
|---|---|
| LBN Legal business name | Chiro-Med West Town Sc |
| DBA Doing business as | |
| Authorized official | Brockman, Dale W Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 18th, 2007 |
| Last updated | Dec 30th, 2010 - about 16 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 | 1942499520 | NPPES |
| Wisconsin | MEDICAID | 38798900 |
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