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Contact Information

IMAGINE CHIROPRACTIC AND WELLNESS CENTER, INC.
445 CARDINAL LN STE 110
GREEN BAY, WI54313-9577
 Phone: 920-327-3752
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for IMAGINE CHIROPRACTIC AND WELLNESS CENTER INC · (Female)

NPI # 1306102066
Status Active
Credentials
Entity Individual
Enumeration date 04/06/2012
Last updated 04/06/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 4371-012
  • WI License # 5028
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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