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Contact Information

CROSSROADS CHIROPRACTIC JOHNSON CREEK LLC
545 VILLAGE WALK LN
SUITE C
JOHNSON CREEK, WI53038
 Phone: 920-728-4070
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CROSSROADS CHIROPRACTIC JOHNSON CREEK LLC · (Female)

NPI # 1326345166
Status Active
Credentials
Entity Individual
Enumeration date 02/14/2011
Last updated 02/14/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 4573-012
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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