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Contact Information

LARSON CHIROPRACTIC OFFICE INC
410 N RIVER ST
SPOONER, WI54801
 Phone: 715-635-9307
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for LARSON CHIROPRACTIC OFFICE INC · (Female)

NPI Number 1457419863
Status Active
Credentials
Entity Individual
Enumeration date 12/05/2006
Last updated 04/20/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 1432012
  • WI Medicaid 38752600
  • Other 350052432 RR MEDICARE
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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