Healthcare Provider Details

I. General information

NPI: 1427103027
Provider Name (Legal Business Name): RAMIREZ CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9217 W CENTER ST
MILWAUKEE WI
53222-4516
US

IV. Provider business mailing address

9217 W CENTER ST
MILWAUKEE WI
53222-4516
US

V. Phone/Fax

Practice location:
  • Phone: 414-771-1968
  • Fax:
Mailing address:
  • Phone: 414-771-1968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number4233-012
License Number StateWI

VIII. Authorized Official

Name: CRISTINA RAMIREZ
Title or Position: OWNER
Credential: DC
Phone: 414-771-1968