Kettle Moraine Chiropractic Clinic Sc

LBN: Kettle Moraine Chiropractic Clinic Sc
Kettle Moraine Chiropractic Clinic Sc is an health care organization with primary practice located at 223 W Paradise Dr , West Bend WI 53095-4903. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Kettle Moraine Chiropractic Clinic Sc can be contacted via phone (262) 334-1011, or through Gronski, Robert Scott via phone (262) 334-1011.

Contact Information

Primary practice address
223 W Paradise Dr West Bend WI 53095-4903
Phone: (262) 334-1011
Fax: (262) 338-0306
Website:
Map and Directions
Authorized official contact:
Name: Gronski, Robert Scott Doctor of Chiropractic (DC)
Phone: (262) 334-1011

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2539012 Wisconsin

Profile Details

NPI number 1174682553
LBN Legal business name Kettle Moraine Chiropractic Clinic Sc
DBA Doing business as
Authorized official Gronski, Robert Scott Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Apr 24th, 2017 - about 9 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 1174682553 NPPES
Wisconsin MEDICAID 38863700

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