Organization · Type 2 NPI

One Source Wellness and Chiropractic LLC

Chiropractor · Brookfield, WI

NPI number 1710341847 Active

Practice location

13730 W Greenfield Ave
Brookfield, WI 53005-7115

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	3958-12 (WI)

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.

3 other providers at this address

Other chiropractor providers in Brookfield

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NPI record

NPI: 1710341847
Entity type: Organization (Type 2)
Issued: Apr 5, 2016
Last updated: Mar 11, 2020
Status: Active

Other names

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One Source Wellness and Chiropractic · doing business as
One Source Wellness and Chiropractic · doing business as

Authorized official

Mr. Paul Edward Ralston, DC
DC
(262) 751-7505

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1710341847

One Source Wellness and Chiropractic LLC's National Provider Identifier is 1710341847, issued on Apr 5, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Brookfield, WI. The record was last updated on Mar 11, 2020.