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Contact Information

CROSSROADS CHIROPRACTIC JOHNSON CREEK LLC
545 VILLAGE WALK LN
SUITE C
JOHNSON CREEK, WI53038
 Phone: 920-728-4070
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CROSSROADS CHIROPRACTIC JOHNSON CREEK LLC

NPI # 1326345166
LBN Legal business name CROSSROADS CHIROPRACTIC JOHNSON CREEK LLC
Authorized official KIMBERLY TURNER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2011
Last updated 02/14/2011 - About 15 years ago
Identifiers
WI License # 4573-012
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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