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Contact Information

BACK TO BASICS COMMUNITY CLINIC, INC
181 E NORTH WATER ST
SUITE 115
NEENAH, WI54956-2722
 Phone: 920-637-1084
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK TO BASICS COMMUNITY CLINIC INC · (Female)

NPI Number 1336552066
Status Active
Credentials
Entity Individual
Enumeration date 06/10/2014
Last updated 06/10/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 472012
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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