Lake Superior Chiropractic Office, S.C. in Superior - Chiropractor
Lake Superior Chiropractic Office, S.C. - NPI 1053538959
Lake Superior Chiropractic Office, S.C. is a Chiropractor in Superior, Wisconsin. Lake Superior Chiropractic Office, S.C. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Lake Superior Chiropractic Office, S.C. is 1053538959. The last update date is 2008-04-29.
Lake Superior Chiropractic Office, S.C.'s current location address is 2121 E 5th St, Superior, Wisconsin. You can contact this provider via phone number 7153986679 and fax number 7153986080. The mailing address for Lake Superior Chiropractic Office, S.C. is 2121 E 5th St, Superior, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Superior Chiropractic Office, S.C. |
|---|---|
| Address | 2121 E 5th St, Superior, Wisconsin |
| Phone Number | 7153986679 |
| Fax Number | 7153986080 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Miller D Carl |
| Credentials | DC |
| Telephone Number | 7153986679 |
NPI Number Detail
| NPI Number | 1053538959 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2008-04-29 |
Provider Mailing Address Detail
| Address | 2121 E 5th St |
|---|---|
| City | Superior |
| State | Wisconsin (WI) |
| Post Code | 548803610 |
| Phone Number | 7153986679 |
| Fax Number | 7153986080 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2460 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38986200 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lake Superior Chiropractic Office, S.C. by the Centers for Medicare & Medicaid Services?
The Lake Superior Chiropractic Office, S.C. has been assigned the NPI (National Provider Identifier) 1053538959 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Lake Superior Chiropractic Office, S.C.'s facilities are geographically located?
The facilities of Lake Superior Chiropractic Office, S.C. are physically situated at the following location: 2121 E 5Th St, Superior, WI, 548803610.
What is the Lake Superior Chiropractic Office, S.C.'s specialty and taxonomy code?
The Lake Superior Chiropractic Office, S.C.'s specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053538959 to Lake Superior Chiropractic Office, S.C.?
The Lake Superior Chiropractic Office, S.C. received its 1053538959 assignment from the Centers for Medicare & Medicaid Services on 2007-04-20.
As of what date were the details related to Lake Superior Chiropractic Office, S.C. most recently updated or revised?
The information pertaining to Lake Superior Chiropractic Office, S.C., including its address, specialty, and other relevant details, was last updated or revised on 2008-04-29.
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