Wisconsin Spinal Correction Center Llc
LBN: Clover Chiropractic Llc
Wisconsin Spinal Correction Center Llc is an health care organization with primary practice located at 1576 Lyon Dr , Neenah WI 54956-5069. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Clover Chiropractic Llc can be contacted via phone (920) 722-7947, or through Clover, Matthew via phone (920) 722-7947.
Contact Information
Primary practice address
1576 Lyon Dr
Neenah WI 54956-5069
Phone: (920) 722-7947
Fax: (920) 722-7949
Website:
Authorized official contact:
Name: Clover, Matthew Doctor of Chiropractic (DC)
Phone: (920) 722-7947
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4089-012 | Wisconsin |
Profile Details
| NPI number | 1407919525 |
|---|---|
| LBN Legal business name | Clover Chiropractic Llc |
| DBA Doing business as | Wisconsin Spinal Correction Center Llc |
| Authorized official | Clover, Matthew Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Mar 26th, 2013 - about 13 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 | 1407919525 | NPPES |
| Wisconsin | MEDICAID | 38966100 |
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