Otto Chiropractic

LBN: Otto Chiropractic, S.C.
Otto Chiropractic is an health care organization with primary practice located at 308 E Northland Ave , Appleton WI 54911-2163. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Otto Chiropractic, S.C. can be contacted via phone (920) 739-6800, or through Otto, Kenneth L via phone (920) 915-6802.

Contact Information

Primary practice address
308 E Northland Ave Appleton WI 54911-2163
Phone: (920) 739-6800
Fax: (920) 739-3999
Website:
Map and Directions
Authorized official contact:
Name: Otto, Kenneth L Doctor of Chiropractic (DC)
Phone: (920) 915-6802

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3082-012 Wisconsin

Profile Details

NPI number 1619165875
LBN Legal business name Otto Chiropractic, S.C.
DBA Doing business as Otto Chiropractic
Authorized official Otto, Kenneth L Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2007
Last updated Apr 5th, 2023 - about 3 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 1619165875 NPPES
Wisconsin MEDICAID 38976800

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