Organization · NPI-2

Daniels Chiropractic Office INC

Clinic/Center · Racine, WI

NPI number1376715722
StatusActive
Last updated in NPPESMar 26, 2008

Details

NPI
1376715722
Entity type
Organization (NPI-2)
Legal business name
Daniels Chiropractic Office INC
Organization subpart
No
Enumeration date
Mar 26, 2008
Last updated
Mar 26, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center2240WIYes

Practice location

2609 Rapids Dr
Racine, WI 53404-1741

Phone 262-638-9999

Mailing address

2609 Rapids Dr
Racine, WI 53404-1741

Phone 262-638-9999

Authorized official

Daniel Bruce Daniels
Dr
2626389999

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