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Contact Information

BLACK RIVER CHIROPRACTIC CENTER SC
237 W BROADWAY ST
BLAIR, WI54616-9366
 Phone: 608-989-2020
 Fax: 608-989-2308
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BLACK RIVER CHIROPRACTIC CENTER SC · (Female)

NPI # 1396746186
Status Active
Credentials
Entity Individual
Enumeration date 08/03/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI Medicaid 38996400
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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