Healthcare Provider Details

I. General information

NPI: 1447524608
Provider Name (Legal Business Name): JHM CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2012
Last Update Date: 03/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 E HIGHLAND AVE SUITE A
MILWAUKEE WI
53202-6635
US

IV. Provider business mailing address

270 E HIGHLAND AVE SUITE A
MILWAUKEE WI
53202-6635
US

V. Phone/Fax

Practice location:
  • Phone: 414-220-9441
  • Fax: 414-220-9442
Mailing address:
  • Phone: 414-220-9441
  • Fax: 414-220-9442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4857-12
License Number StateWI

VIII. Authorized Official

Name: DR. JOSEPH HENRY MEHRING
Title or Position: DC/OWNER
Credential: D.C.
Phone: 414-238-3207