Goodell Chiropractic Office

LBN: Goodell Chiropractic Office
Goodell Chiropractic Office is an health care organization with primary practice located at 8020 Durand Ave , Sturtevant WI 53177-1976. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Goodell Chiropractic Office can be contacted via phone (262) 886-8600, or through Goodell, Gary via phone (262) 886-8600.

Contact Information

Primary practice address
8020 Durand Ave Sturtevant WI 53177-1976
Phone: (262) 886-8600
Fax: (262) 886-5342
Website:
Map and Directions
Authorized official contact:
Name: Goodell, Gary Doctor of Chiropractic (DC)
Phone: (262) 886-8600

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 224512 Wisconsin

Profile Details

NPI number 1932538923
LBN Legal business name Goodell Chiropractic Office
DBA Doing business as
Authorized official Goodell, Gary Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2013
Last updated Nov 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932538923 NPPES
Wisconsin MEDICAID 38886700
Wisconsin Other 350024280

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