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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

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

NPI # 1497290761
LBN Legal business name ADVANCED SPINE CENTER, S.C.
Authorized official MOLLY HAUSMANN - (OWNER/CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2016
Last updated 12/22/2016 - About 9 years ago
Identifiers
WI License # 4239-012
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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