Ditty Chiropractic, LLC
Chiropractor in Green Bay, WI. Organization (NPI-2).
NPI number1245545136
StatusActive
Last updated in NPPESAug 16, 2010
Details
- NPI
- 1245545136
- Entity type
- Organization (NPI-2)
- Legal business name
- Ditty Chiropractic, LLC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2010
- Last updated
- Aug 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 4204-012 | WI | Yes |
Practice location
2170 Velp AveSuite 105
Green Bay, WI 54303-6596
Phone 920-434-2615
Mailing address
2170 Velp AveSuite 105
Green Bay, WI 54303-6596
Phone 920-434-2615
Authorized official
Marc D. Ditty
Owner/Chiropractor
9204342615
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