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Contact Information

BAY AREA CHIROPRACTIC SC
1441 BELLEVUE ST
GREEN BAY, WI54311-5605
 Phone: 920-468-1963
 Fax: 920-468-9785
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BAY AREA CHIROPRACTIC SC

NPI # 1104804012
LBN Legal business name BAY AREA CHIROPRACTIC SC
Authorized official ROBERT SERVAIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2006
Last updated 08/20/2025 - About 10 months ago
Identifiers
WI Medicaid 39001100
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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