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Contact Information

BLACK RIVER CHIROPRACTIC CENTER SC
237 W BROADWAY ST
BLAIR, WI54616-9366
 Phone: 608-989-2020
 Fax: 608-989-2308
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BLACK RIVER CHIROPRACTIC CENTER SC

NPI Number 1396746186
LBN Legal business name BLACK RIVER CHIROPRACTIC CENTER SC
Authorized official RUTH JEAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/03/2005
Last updated 07/21/2022 - About 4 years ago
Identifiers
WI Medicaid 38996400
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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