National Provider Identifier Database

BLAU CHIROPRACTIC SC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

BLAU CHIROPRACTIC SC
641 LATTON LN
PORTAGE, WI53901-1078
Phone: 608-742-1300
Fax: 608-745-0147
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BLAU CHIROPRACTIC SC

NPI Number 1003003716
Legal business name
LBN
BLAU CHIROPRACTIC SC
Authorized official KEVIN BLAU - (CHIROPRACTOR)
Entity Organization
Organization subpart No
Enumeration date 09/26/2007
Last updated 11/13/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 2990
  • WI Medicaid: 38887700

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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