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NPI Code Detail

MEDICARE: CHIROPRACTIC COMPANY - WEST ALLIS LTD

MEDICARE: CHIROPRACTIC COMPANY - WEST ALLIS LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1528122611
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIROPRACTIC COMPANY - WEST ALLIS LTD
Provider Business Mailing Address
First Line : 2255 S 108TH ST
Second Line :
City : WEST ALLIS
State : WI
Zip : 53227-1107
Country : US
Telephone Number : 414-327-6767
Fax Number : 414-327-0988
Provider Business Practice Location Address
First Line : 2255 S 108TH ST
Second Line :
City : WEST ALLIS
State : WI
Zip : 53227-1107
Country : US
Telephone Number : 414-327-6767
Fax Number : 414-327-0988
Authorized Official
Title or Position : CFO
Name : DR. JOHN P CORSI
Credential : DC
Telephone Number : 414-327-6767
Provider Enumeration Date : 12/21/2006
Last Update Date : 08/29/2025

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Directions to “CHIROPRACTIC COMPANY - WEST ALLIS LTD ” Practice Location

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