De Pere Chiropractic Center
LBN: De Pere Chiropractic Center, Llc
De Pere Chiropractic Center is an health care organization with primary practice located at 820 George St , De Pere WI 54115-2916. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
De Pere Chiropractic Center, Llc can be contacted via phone (920) 336-2921, or through Hauser, Jaceson L. via phone (920) 336-2921.
Contact Information
Primary practice address
820 George St
De Pere WI 54115-2916
Phone: (920) 336-2921
Fax: (920) 336-8229
Website:
Authorized official contact:
Name: Hauser, Jaceson L. Doctor of Chiropractic (DC)
Phone: (920) 336-2921
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Wisconsin |
Profile Details
| NPI number | 1083600654 |
|---|---|
| LBN Legal business name | De Pere Chiropractic Center, Llc |
| DBA Doing business as | De Pere Chiropractic Center |
| Authorized official | Hauser, Jaceson L. Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Mar 21st, 2018 - about 8 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 | 1083600654 | NPPES |
| Wisconsin | MEDICAID | 100001401 | |
| Wisconsin | MEDICAID | 38991400 |
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