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NPI Code Detail

MEDICARE: CHIROPRACTIC CARE CENTERS, S.C.

MEDICARE: CHIROPRACTIC CARE CENTERS, S.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1871634345
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIROPRACTIC CARE CENTERS, S.C.
Provider Business Mailing Address
First Line : 310 W SAINT PAUL AVE STE 5
Second Line :
City : WAUKESHA
State : WI
Zip : 53188-5174
Country : US
Telephone Number : 262-542-9814
Fax Number : 262-542-9826
Provider Business Practice Location Address
First Line : 310 W SAINT PAUL AVE STE 5
Second Line :
City : WAUKESHA
State : WI
Zip : 53188-5174
Country : US
Telephone Number : 262-542-9814
Fax Number : 262-542-9826
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MR. RHYS MAROHN
Credential :
Telephone Number : 920-467-4384
Provider Enumeration Date : 02/09/2007
Last Update Date : 11/08/2007

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Directions to “CHIROPRACTIC CARE CENTERS, S.C. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.