Healthcare Provider Details

I. General information

NPI: 1942494158
Provider Name (Legal Business Name): CHIROPRACTIC COMPANY - WEST ALLIS NORTH LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10025 W GREENFIELD AVE STE 100
WEST ALLIS WI
53214-3957
US

IV. Provider business mailing address

10025 W GREENFIELD AVE STE 100
WEST ALLIS WI
53214-3957
US

V. Phone/Fax

Practice location:
  • Phone: 414-258-9777
  • Fax: 414-327-0988
Mailing address:
  • Phone: 414-258-9777
  • Fax: 414-327-0988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN P CORSI
Title or Position: CFO
Credential: D.C.
Phone: 414-354-5377