1053461772 NPI number — NEW HEALTH CHIROPRACTIC & INTERGRATED HEALTHCARE, LLC

Table of content: (NPI 1053461772)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053461772 NPI number — NEW HEALTH CHIROPRACTIC & INTERGRATED HEALTHCARE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW HEALTH CHIROPRACTIC & INTERGRATED HEALTHCARE, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053461772
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/27/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5976 EXECUTIVE DRIVE
Provider Second Line Business Mailing Address:
SUITE C
Provider Business Mailing Address City Name:
FITCHBURG
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53719
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-273-2222
Provider Business Mailing Address Fax Number:
608-273-2227

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5976 EXECUTIVE DRIVE
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
FITCHBURG
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-273-2222
Provider Business Practice Location Address Fax Number:
608-273-2227
Provider Enumeration Date:
01/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
STEIN
Authorized Official First Name:
KURT
Authorized Official Middle Name:
ROBERT
Authorized Official Title or Position:
OWNER/DOCTOR
Authorized Official Telephone Number:
608-273-2222

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , with the licence number:  3835 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 38940000 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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