Healthcare Provider Details

I. General information

NPI: 1134247299
Provider Name (Legal Business Name): A NATURAL WAY CHIROPRACTIC AND WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

344 E. WASHINGTON ST.
SLINGER WI
53086-0039
US

IV. Provider business mailing address

PO BOX 39 344 E. WASHINGTON ST.
SLINGER WI
53086-0039
US

V. Phone/Fax

Practice location:
  • Phone: 262-644-7050
  • Fax: 262-644-7060
Mailing address:
  • Phone: 262-644-7050
  • Fax: 262-644-7060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3250
License Number StateWI

VIII. Authorized Official

Name: ANN MARIE BELL
Title or Position: OWNER-OPERATOR
Credential: D.C.
Phone: 262-644-7050