Organization · Type 2 NPI
Green Bay Chiropractic Clinic LLC
Chiropractor · Green Bay, WI
NPI number
1164010104
Active
Practice location
515 S Military Ave
Green Bay, WI 54303-2209
Fax (920) 490-9698
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1164010104
Green Bay Chiropractic Clinic LLC's National Provider Identifier is 1164010104, issued on Jan 5, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Green Bay, WI. The record was last updated on Jan 5, 2021.