Sparta Chiropractic Clinic, LLC
Chiropractor in Sparta, WI. Organization (NPI-2).
NPI number1578747473
StatusActive
Last updated in NPPESJan 17, 2008
Details
- NPI
- 1578747473
- Entity type
- Organization (NPI-2)
- Legal business name
- Sparta Chiropractic Clinic, LLC
- Organization subpart
- No
- Enumeration date
- Dec 27, 2007
- Last updated
- Jan 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 3690 | WI | Yes |
Practice location
110 W Wisconsin StSparta, WI 54656-2314
Phone 608-269-1451 · Fax 608-269-1452
Mailing address
110 W Wisconsin StSparta, WI 54656-2314
Phone 608-269-1451 · Fax 608-269-1452
Authorized official
Cindy L Puent
Owner
6082691451
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