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Breidenbach Family And Sports Chiropractic INC

Chiropractor in La Crosse, WI. Organization (NPI-2).

NPI number1003987652
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1003987652
Entity type
Organization (NPI-2)
Legal business name
Breidenbach Family And Sports Chiropractic INC
Organization subpart
No
Enumeration date
Nov 13, 2006
Last updated
Jul 21, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

1526 Rose St
La Crosse, WI 54603-4500

Phone 608-781-9880

Mailing address

1526 Rose St
La Crosse, WI 54603-4500

Phone 608-781-9880

Authorized official

Amy Kay Breidenbach
Owner/Chiropractor
6083869538

Is something wrong?

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