Lake Superior Chiropractic Office, S.c.

NPI 1053538959 - Chiropractor - 111N00000X

NPI Details
NPI 1053538959
Enumeration Date 04/20/2007
Last Updated 04/29/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CARL D CARL
Position OWNER
Phone (715) 398-6679
Fax (715) 398-6080
Practice Location
2121 E 5TH ST
SUPERIOR WI, 54880-3610, US
Phone (715) 398-6679
Fax (715) 398-6080
Business Location
2121 E 5TH ST
SUPERIOR WI, 54880-3610, US
Phone (715) 398-6679
Fax (715) 398-6080
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 2460
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According to our database, Lake Superior Chiropractic Office, S.c. NPI is 1053538959, taxonomy code is 111N00000X and license number is 2460, license state is located at Wisconsin. Lake Superior Chiropractic Office, S.c. physically located at 2121 E 5th St, Superior WI, 54880-3610. NPI Number 1033115704 has the healthcare provider type.

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1053538959 NPI number is provided on an as is basis without warranty of any kind. 1053538959 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Superior Chiropractic Office, S.c. are for informational purposes only.