Performance Chiropractic Center, S.C.
LBN: Performance Chiropractic Center, S.C.
Performance Chiropractic Center, S.C. is an health care organization with primary practice located at 11430 W Bluemound Rd Ste 203 , Wauwatosa WI 53226-4050. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Performance Chiropractic Center, S.C. can be contacted via phone (414) 426-9677, or through Grosskofp, Jeffrey William via phone (414) 426-9677.
Contact Information
Primary practice address
11430 W Bluemound Rd Ste 203
Wauwatosa WI 53226-4050
Phone: (414) 426-9677
Fax:
Website:
Authorized official contact:
Name: Grosskofp, Jeffrey William Doctor of Chiropractic (DC)
Phone: (414) 426-9677
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4451-012 | Wisconsin |
Profile Details
| NPI number | 1649411703 |
|---|---|
| LBN Legal business name | Performance Chiropractic Center, S.C. |
| DBA Doing business as | |
| Authorized official | Grosskofp, Jeffrey William Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 18th, 2009 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649411703 | NPPES |
| Wisconsin | Other | T031020090000051 | MEDICARE APPLICATION TRACKING ID |
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