Healthcare Provider Details

I. General information

NPI: 1497511356
Provider Name (Legal Business Name): TRANSFORMATIONALCHEMY SOL CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2024
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E JEFFERSON ST STE 102A
VIROQUA WI
54665-1757
US

IV. Provider business mailing address

500 E JEFFERSON ST STE 102A
VIROQUA WI
54665-1757
US

V. Phone/Fax

Practice location:
  • Phone: 510-228-5250
  • Fax:
Mailing address:
  • Phone: 510-228-5250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. EILEEN KARPFINGER
Title or Position: OWNER
Credential: DC
Phone: 510-228-5250