Foundations Chiropractic Llc

NPI 1750783775 - Chiropractor - 111N00000X

NPI Details
NPI 1750783775
Enumeration Date 09/22/2014
Last Updated 09/22/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name KYLE WILLIAM KYLE
Position MEMBER
Phone (815) 275-4271
Fax
Practice Location
W502 SPUR LN
FOUNTAIN CITY WI, 54629-7208, US
Phone (815) 275-4271
Fax
Business Location
S3192 BRANDHORST RD
FOUNTAIN CITY WI, 54629-7402, US
Phone (815) 275-4271
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 5041-12
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According to our database, Foundations Chiropractic Llc NPI is 1750783775, taxonomy code is 111N00000X and license number is 5041-12, license state is located at Wisconsin. Foundations Chiropractic Llc physically located at W502 Spur Ln, Fountain City WI, 54629-7208. NPI Number 1033115704 has the healthcare provider type.

1750783775 NPI number is provided on an as is basis without warranty of any kind. 1750783775 is maintained by the National Plan & Provider Enumeration System. The contents of Foundations Chiropractic Llc are for informational purposes only.