Healthcare Provider Details
I. General information
NPI: 1326972811
Provider Name (Legal Business Name): NORTH HAVEN CHIROPRACTIC CO LLC DBA HEALTH BY HANDS CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16645 W GREENFIELD AVE STE D
NEW BERLIN WI
53151-1546
US
IV. Provider business mailing address
W354N5985 LISBON RD
OCONOMOWOC WI
53066-2421
US
V. Phone/Fax
- Phone: 262-788-5940
- Fax:
- Phone: 262-266-0368
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KELLY
M
ROJAS
Title or Position: OWNER
Credential: DC, IBCLC
Phone: 262-266-0368