institution
Ideal Chiropractic Of Fond Du Lac Llc
Chiropractor in Fond Du Lac, Wisconsin
NPI 1639351026

Ideal Chiropractic Of Fond Du Lac Llc is a Chiropractor based in Fond Du Lac, WI. Ideal Chiropractic Of Fond Du Lac Llc practices in Fond Du Lac, WI. The NPI Number for Ideal Chiropractic Of Fond Du Lac Llc is 1639351026 and holds a License No. 4174-012 (Wisconsin).

The current practice location address for Ideal Chiropractic Of Fond Du Lac Llc is 976 E Johnson St Ste 900, Fond Du Lac, WI and can be reached out via phone at 920-907-1700 and via fax at 920-907-1708.

Location: 976 E Johnson St Ste 900, Fond Du Lac, WI, 54935-9747
institution
Provider Profile Details
NPI Number
1639351026
Provider Name
Ideal Chiropractic Of Fond Du Lac Llc
Credential
Provider Entity Type
Organization
Address
976 E Johnson St Ste 900, Fond Du Lac, WI, 54935-9747
Phone Number
920-907-1700
Fax Number
920-907-1708
Provider Enumeration Date
11/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1063589505 01 WI INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
976 E Johnson St Ste 900
City
State
Zip
54935-9747
Phone Number
920-907-1700
Fax Number
920-907-1708
person
Provider Business Mailing Address Details
Address
976 E Johnson St Ste 900
City
State
Zip
54935-9747
Phone Number
920-907-1700
Fax Number
920-907-1708
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
4174-012 (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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