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Peninsula Chiropractic Center Inc.
Chiropractor in Sturgeon Bay, Wisconsin
NPI 1417145830

Peninsula Chiropractic Center Inc. is a Chiropractor based in Sturgeon Bay, WI. Peninsula Chiropractic Center Inc. practices in Sturgeon Bay, WI. The NPI Number for Peninsula Chiropractic Center Inc. is 1417145830 and holds a License No. 1763-012 (Wisconsin).

The current practice location address for Peninsula Chiropractic Center Inc. is 331 Kentucky St, Sturgeon Bay, WI and can be reached out via phone at 920-743-6919 and via fax at 920-746-0619.

Location: 331 Kentucky St, Sturgeon Bay, WI, 54235-2419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417145830
Provider Name
Peninsula Chiropractic Center Inc.
Credential
Provider Entity Type
Organization
Address
331 Kentucky St, Sturgeon Bay, WI, 54235-2419
Phone Number
920-743-6919
Fax Number
920-746-0619
Provider Enumeration Date
10/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38995000 01 MEDICAID PRACTICE IDENTIF
0003 01 MEDICARE PROVIDER IDENTIF
38783400 01 MEDICAID PROVIDER IDENTIF
institution
Provider Business Practice Location Address Details
Address
331 Kentucky St
City
Sturgeon Bay
State
Wisconsin
Zip
54235-2419
Phone Number
920-743-6919
Fax Number
920-746-0619
person
Provider Business Mailing Address Details
Address
331 Kentucky St
City
Sturgeon Bay
State
Wisconsin
Zip
54235-2419
Phone Number
920-743-6919
Fax Number
920-746-0619
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1763-012 (Wisconsin)
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 interrelationship with other body systems.
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