National Provider Identifier Database

ADVANCED SPINE CENTER SC
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

ADVANCED SPINE CENTER, S.C.
11203 N BUNTROCK AVE
100
MEQUON, WI53092-1857
Phone: 262-512-1661
Fax: 262-512-1663
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for ADVANCED SPINE CENTER, S.C.

NPI Number 1497290761
Legal business name
LBN
ADVANCED SPINE CENTER, S.C.
Authorized official MOLLY HAUSMANN - (OWNER/CHIROPRACTOR)
Entity Organization
Organization subpart No
Enumeration date 12/22/2016
Last updated 12/22/2016 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 4239-012

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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