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Contact Information

BACK ON TRACK CHIROPRACTIC, LLC
1528 N BALLARD RD
SUITE 8
APPLETON, WI54911-4252
 Phone: 920-364-9197
 Fax: 920-364-9199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK ON TRACK CHIROPRACTIC LLC · (Female)

NPI Number 1205104924
Status Active
Credentials
Entity Individual
Enumeration date 12/08/2011
Last updated 12/08/2011 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 4345-12
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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