National Provider Identifier Database

BACK TO BASICS COMMUNITY CLINIC INC
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

BACK TO BASICS COMMUNITY CLINIC, INC
181 E NORTH WATER ST
SUITE 115
NEENAH, WI54956-2722
Phone: 920-637-1084
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BACK TO BASICS COMMUNITY CLINIC, INC

NPI Number 1336552066
Legal business name
LBN
BACK TO BASICS COMMUNITY CLINIC, INC
Authorized official KIMBERLY FLETCHER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/10/2014
Last updated 06/10/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 472012

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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