Ideal Chiropractic

LBN: Fond Du Lac Chiropractic & Wellness Center Llc
Ideal Chiropractic is an health care organization with primary practice located at 976 E Johnson St Ste 900, Fond Du Lac WI 54935-9746. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Fond Du Lac Chiropractic & Wellness Center Llc can be contacted via phone (920) 907-1700, or through Serwe, Jessica Lynn via phone (920) 907-1700.

Contact Information

Primary practice address
976 E Johnson St Ste 900 Fond Du Lac WI 54935-9746
Phone: (920) 907-1700
Fax: (920) 907-1708
Website:
Map and Directions
Authorized official contact:
Name: Serwe, Jessica Lynn Doctor of Chiropractic (DC)
Phone: (920) 907-1700

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4174-012 Wisconsin

Profile Details

NPI number 1902042922
LBN Legal business name Fond Du Lac Chiropractic & Wellness Center Llc
DBA Doing business as Ideal Chiropractic
Authorized official Serwe, Jessica Lynn Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2008
Last updated Mar 18th, 2009 - about 17 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 1902042922 NPPES
Wisconsin MEDICAID 38185900

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