Wagner Family Chiropractic Sc

LBN: Wagner Family Chiropractic Sc
Wagner Family Chiropractic Sc is an health care organization with primary practice located at N110 Brux Rd , Appleton WI 54915-9439. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Wagner Family Chiropractic Sc can be contacted via phone (920) 968-0464, or through Wagner, Michael via phone (920) 968-0464.

Contact Information

Primary practice address
N110 Brux Rd Appleton WI 54915-9439
Phone: (920) 968-0464
Fax: (920) 968-0482
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Michael Doctor of Chiropractic (DC)
Phone: (920) 968-0464

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4062-012 Wisconsin

Profile Details

NPI number 1295857928
LBN Legal business name Wagner Family Chiropractic Sc
DBA Doing business as
Authorized official Wagner, Michael Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2007
Last updated Jun 11th, 2024 - about 2 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 1295857928 NPPES
Wisconsin MEDICAID 38957300
Wisconsin MEDICAID 38961100

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