National Provider Identifier Database

AT HOME AUTO ACCIDENT TREATMENT LLC
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

AT-HOME AUTO ACCIDENT TREATMENT, LLC
5800 W NATIONAL AVE
WEST ALLIS, WI53214-3446
Phone: 262-682-1101
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for AT-HOME AUTO ACCIDENT TREATMENT, LLC

NPI Number 1053756700
Legal business name
LBN
AT-HOME AUTO ACCIDENT TREATMENT, LLC
Authorized official BRIAN FORMOLO - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/08/2013
Last updated 05/08/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 3364

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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