Organization · Type 2 NPI
Lifetime Chiropractic Service Corporation
Chiropractor · Appleton, WI
NPI number
1720039969
Active
Practice location
1196 N Mayflower Dr
Appleton, WI 54913-9656
Fax (920) 830-4553
Mailing address
708 Beaver St
Beaver Dam, WI 53916-1628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3419-012 (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.
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- Genesis Chiropractic LLCChiropractor Appleton, WI NPI 1144082439
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About NPI 1720039969
Lifetime Chiropractic Service Corporation's National Provider Identifier is 1720039969, issued on May 12, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Appleton, WI. The record was last updated on Aug 22, 2020.