Genesis Chiropractic Clinic, Inc. in Kenosha - Chiropractor
Genesis Chiropractic Clinic, Inc. - NPI 1770650566
Genesis Chiropractic Clinic, Inc. is a Chiropractor in Kenosha, Wisconsin. Genesis Chiropractic Clinic, Inc. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Genesis Chiropractic Clinic, Inc. is 1770650566. The last update date is 2020-08-22.
Genesis Chiropractic Clinic, Inc.'s current location address is 1024 60th St, Kenosha, Wisconsin. You can contact this provider via phone number 2626577744. The mailing address for Genesis Chiropractic Clinic, Inc. is 1024 60th St, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Genesis Chiropractic Clinic, Inc. |
|---|---|
| Address | 1024 60th St, Kenosha, Wisconsin |
| Phone Number | 2626577744 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Esposito Charles Daniel |
| Credentials | DC |
| Telephone Number | 2626577744 |
NPI Number Detail
| NPI Number | 1770650566 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1024 60th St |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531404099 |
| Phone Number | 2626577744 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3168-12 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38887800 | WI | -- |
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What is the Genesis Chiropractic Clinic, Inc.'s 1770650566?
The Genesis Chiropractic Clinic, Inc.'s NPI (National Provider Identifier) Number is 1770650566. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Genesis Chiropractic Clinic, Inc. is physically located?
The Genesis Chiropractic Clinic, Inc. is physically situated at the following address: 1024 60Th St, Kenosha, WI, 531404099.
What is the area of specialization for Genesis Chiropractic Clinic, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Genesis Chiropractic Clinic, Inc. is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Genesis Chiropractic Clinic, Inc. receive its 1770650566 assignment from the Centers for Medicare & Medicaid Services?
The Genesis Chiropractic Clinic, Inc. was assigned its 1770650566 by the Centers for Medicare & Medicaid Services on 2006-11-29.
As of what date were the details related to Genesis Chiropractic Clinic, Inc. most recently updated or revised?
The information pertaining to Genesis Chiropractic Clinic, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.