Moxon Chiropractic, S.C.

LBN: Moxon Chiropractic, S.C.
Moxon Chiropractic, S.C. is an health care organization with primary practice located at 93 S Pioneer Rd 200, Fond Du Lac WI 54935-3873. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Moxon Chiropractic, S.C. can be contacted via phone (920) 907-1283, or through Moxon, Richard Lee via phone (920) 907-1283.

Contact Information

Primary practice address
93 S Pioneer Rd 200 Fond Du Lac WI 54935-3873
Fax: (920) 907-1285
Website:
Authorized official contact:
Name: Moxon, Richard Lee Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3019 - 012 Wisconsin

Profile Details

NPI number 1154594059
LBN Legal business name Moxon Chiropractic, S.C.
DBA Doing business as
Authorized official Moxon, Richard Lee Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2008
Last updated Apr 11th, 2008 - about 18 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 1154594059 NPPES
Wisconsin MEDICAID 38880600
Wisconsin Other U49065

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