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Badger Chiropractic, LLC

Chiropractor in Verona, WI. Organization (NPI-2).

NPI number1962425355
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1962425355
Entity type
Organization (NPI-2)
Legal business name
Badger Chiropractic, LLC
Organization subpart
No
Enumeration date
Jul 26, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor3554-012WIYes

Practice location

6384 Pheasant Ln
Verona, WI 53593-9258

Phone 608-848-2638 · Fax 608-848-2638

Mailing address

6386 Pheasant Ln
Verona, WI 53593-9258

Phone 608-848-2638

Authorized official

Jared D Holthe
Owner Chiropractor
6088482638

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