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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

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

NPI Number 1053756700
LBN Legal business name AT-HOME AUTO ACCIDENT TREATMENT, LLC
Authorized official BRIAN FORMOLO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2013
Last updated 05/08/2013 - About 13 years ago
Identifiers
WI License # 3364
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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