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Contact Information

PERFORMANCE CHIROPRACTIC LLC
825 S HURON RD STE H
GREEN BAY, WI54311-8029
 Phone: 920-406-8700
 Fax: 920-406-8712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for PERFORMANCE CHIROPRACTIC LLC · (Female)

NPI # 1336292614
Status Active
Credentials
Entity Individual
Enumeration date 01/19/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 2670-012
  • WI Medicaid 38868000
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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