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Contact Information

APPLE CLINIC SC
814 JAY ST
MANITOWOC, WI54220-4520
 Phone: 920-686-0328
 Fax: 920-686-1035
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for APPLE CLINIC SC

NPI # 1275566606
LBN Legal business name APPLE CLINIC SC
Authorized official JENNIFER RADA - (OWNER/CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2006
Last updated 12/28/2012 - About 13 years ago
Identifiers
WI License # 3703012
WI Medicaid 38927900
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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