National Provider Identifier Database

ALIVE CHIROPRACTIC LLC
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

ALIVE CHIROPRACTIC LLC
12930 W BLUEMOUND RD
ELM GROVE, WI53122-2606
Phone: 262-955-8867
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for ALIVE CHIROPRACTIC LLC

NPI Number 1447754890
Legal business name
LBN
ALIVE CHIROPRACTIC LLC
Authorized official ROBERT FUGIEL - (OWNER/PROVIDER)
Entity Organization
Organization subpart No
Enumeration date 03/21/2018
Last updated 03/06/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 5317-12

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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