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Contact Information

ADVANTAGE CHIROPRACTIC, LLC
17047 W GREENFIELD AVE
NEW BERLIN, WI53151-1364
 Phone: 920-420-6753
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ADVANTAGE CHIROPRACTIC, LLC

NPI # 1366989055
LBN Legal business name ADVANTAGE CHIROPRACTIC, LLC
Authorized official EVAN NORUM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/19/2017
Last updated 01/19/2017 - About 9 years ago
Identifiers
WI License # 5228-12
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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