Neenah Chiropractic & Rehab INC
Chiropractor in Neenah, WI. Organization (NPI-2).
NPI number1073702007
StatusActive
Last updated in NPPESJan 15, 2018
Details
- NPI
- 1073702007
- Entity type
- Organization (NPI-2)
- Legal business name
- Neenah Chiropractic & Rehab INC
- Organization subpart
- No
- Enumeration date
- Oct 16, 2007
- Last updated
- Jan 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 4143012 | WI | Yes |
Practice location
907 Tullar RdNeenah, WI 54956-3617
Phone 920-722-9200 · Fax 920-722-9202
Mailing address
907 Tullar RdNeenah, WI 54956-3617
Phone 920-722-9200 · Fax 920-722-9202
Authorized official
Eric Bogaart
Owner
9207229200
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