Healthcare Provider Details

I. General information

NPI: 1861786485
Provider Name (Legal Business Name): FINN CHIROPRACTIC CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2011
Last Update Date: 08/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 E CENTRAL ST
CHIPPEWA FALLS WI
54729-2502
US

IV. Provider business mailing address

17 E CENTRAL ST
CHIPPEWA FALLS WI
54729-2502
US

V. Phone/Fax

Practice location:
  • Phone: 715-559-8102
  • Fax:
Mailing address:
  • Phone: 715-559-8102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number4732
License Number StateWI

VIII. Authorized Official

Name: DR. JOSHUA PAUL FINN
Title or Position: OWNER/MANAGER
Credential: D.C.
Phone: 715-559-8102