Horicon Street Chiropractic, S.c.

NPI 1477683142 - Chiropractor - 111N00000X

NPI Details
NPI 1477683142
Enumeration Date 03/06/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name AMY B. AMY
Position CHIROPRACTIC ASSISTANT
Phone (920) 387-3240
Fax (920) 387-4245
Practice Location
935 HORICON ST.
MAYVILLE WI, 53050, US
Phone (920) 387-3240
Fax (920) 387-4245
Business Location
935 HORICON STREET
MAYVILLE WI, 53050, US
Phone (920) 387-3240
Fax (920) 387-4245
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 2886-012
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According to our database, Horicon Street Chiropractic, S.c. NPI is 1477683142, taxonomy code is 111N00000X and license number is 2886-012, license state is located at Wisconsin. Horicon Street Chiropractic, S.c. physically located at 935 Horicon St., Mayville WI, 53050. NPI Number 1033115704 has the healthcare provider type.

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1477683142 NPI number is provided on an as is basis without warranty of any kind. 1477683142 is maintained by the National Plan & Provider Enumeration System. The contents of Horicon Street Chiropractic, S.c. are for informational purposes only.