Zastrow Chiropractic Office, Llc

LBN: Zastrow Chiropractic Office, Llc
Zastrow Chiropractic Office, Llc is an health care organization with primary practice located at 1624 E Mason St , Green Bay WI 54302-2739. The organization recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as the primary health care specialty. Zastrow Chiropractic Office, Llc can be contacted via phone (920) 465-0400, or through Zastrow, Michael Lawrence via phone (920) 465-0400.

Contact Information

Primary practice address
1624 E Mason St Green Bay WI 54302-2739
Phone: (920) 465-0400
Fax: (920) 465-1430
Website:
Map and Directions
Authorized official contact:
Name: Zastrow, Michael Lawrence Doctor of Chiropractic (DC)
Phone: (920) 465-0400

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X 1813-12 Wisconsin

Profile Details

NPI number 1457751778
LBN Legal business name Zastrow Chiropractic Office, Llc
DBA Doing business as
Authorized official Zastrow, Michael Lawrence Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2014
Last updated Aug 25th, 2014 - about 12 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 1457751778 NPPES
Wisconsin MEDICAID 38777600

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