Cody Chiropractic Wellness Center Llc

LBN: Cody Chiropractic Wellness Center Llc
Cody Chiropractic Wellness Center Llc is an health care organization with primary practice located at 462 Water St , Prairie Du Sac WI 53578-1127. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Cody Chiropractic Wellness Center Llc can be contacted via phone (608) 643-5060, or through Cody, Jonathan via phone (608) 643-5060.

Contact Information

Primary practice address
462 Water St Prairie Du Sac WI 53578-1127
Phone: (608) 643-5060
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cody, Jonathan Doctor of Chiropractic (DC)
Phone: (608) 643-5060

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4031012 Wisconsin

Profile Details

NPI number 1508053307
LBN Legal business name Cody Chiropractic Wellness Center Llc
DBA Doing business as
Authorized official Cody, Jonathan Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2007
Last updated Apr 22nd, 2015 - about 11 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 1508053307 NPPES
Wisconsin MEDICAID 38954600

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