Creekside Chiropractic
LBN: Creekside Chiropractic And Rehabilitation, Ltd.
Creekside Chiropractic is an health care organization with primary practice located at 4000 Enterprise Dr , Sheboygan WI 53083-2245. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Creekside Chiropractic And Rehabilitation, Ltd. can be contacted via phone (920) 459-9090, or through Tislau, Andrew L via phone (920) 459-9090.
Contact Information
Primary practice address
4000 Enterprise Dr
Sheboygan WI 53083-2245
Phone: (920) 459-9090
Fax: (920) 459-7426
Website:
Authorized official contact:
Name: Tislau, Andrew L Doctor of Chiropractic (DC)
Phone: (920) 459-9090
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2308-12 | Wisconsin |
| Chiropractic Providers / Chiropractor | 111N00000X | 4058-012 | Wisconsin |
| Chiropractic Providers / Chiropractor | 111N00000X | 4549-12 | Wisconsin |
Profile Details
| NPI number | 1801076872 |
|---|---|
| LBN Legal business name | Creekside Chiropractic And Rehabilitation, Ltd. |
| DBA Doing business as | Creekside Chiropractic |
| Authorized official | Tislau, Andrew L Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2007 |
| Last updated | Feb 8th, 2024 - about 2 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 | 1801076872 | NPPES |
| Wisconsin | MEDICAID | 38834800 |
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