| NPI Details | |
|---|---|
| NPI | 1366456709 |
| Enumeration Date | 07/29/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | BRIAN JAMES BRIAN |
| Position | PRESIDENT |
| Phone | (608) 989-2020 |
| Fax | (608) 989-2308 |
| Practice Location | |
|---|---|
| 237 W. BROADWAY BLAIR WI, 54616, US |
|
| Phone | (608) 989-2020 |
| Fax | (608) 989-2308 |
| Business Location | |
|---|---|
| PO BOX 66 BLAIR WI, 54616-0066, US |
|
| Phone | (608) 989-2020 |
| Fax | (608) 989-2308 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 111N00000X |
| License State | Wisconsin |
| License Number | 3358-012 |
| Remove 1366456709 NPI Number | |
According to our database, Blair Chiropractic Center, Llc NPI is 1366456709, taxonomy code is 111N00000X and license number is 3358-012, license state is located at Wisconsin. Blair Chiropractic Center, Llc physically located at 237 W. Broadway, Blair WI, 54616. NPI Number 1033115704 has the healthcare provider type.
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1366456709 NPI number is provided on an as is basis without warranty of any kind. 1366456709 is maintained by the National Plan & Provider Enumeration System. The contents of Blair Chiropractic Center, Llc are for informational purposes only.
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