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Bayside Chiropractic Llc
Chiropractor in De Pere, Wisconsin
NPI 1659709376

Bayside Chiropractic Llc is a Chiropractor based in De Pere, WI. Bayside Chiropractic Llc practices in De Pere, WI. The NPI Number for Bayside Chiropractic Llc is 1659709376 and holds a License No. 4214-012 (Wisconsin).

The current practice location address for Bayside Chiropractic Llc is 1700 Sand Acres Dr Ste 2A, De Pere, WI and can be reached out via phone at 920-591-0141.

Location: 1700 Sand Acres Dr Ste 2A, De Pere, WI, 54115-7562
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659709376
Provider Name
Bayside Chiropractic Llc
Credential
Provider Entity Type
Organization
Address
1700 Sand Acres Dr Ste 2A, De Pere, WI, 54115-7562
Phone Number
920-591-0141
Fax Number
Provider Enumeration Date
10/15/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K100119441 01 WI PTAN
institution
Provider Business Practice Location Address Details
Address
1700 Sand Acres Dr Ste 2A
City
De Pere
State
Wisconsin
Zip
54115-7562
Phone Number
920-591-0141
Fax Number
person
Provider Business Mailing Address Details
Address
1700 Sand Acres Dr Ste 2A
City
De Pere
State
Wisconsin
Zip
54115-7562
Phone Number
920-591-0141
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4214-012 (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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