National Provider Identifier Database

WINNEBAGO WELLNESS 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

WINNEBAGO WELLNESS LLC
102 N 13TH AVE
WINNECONNE, WI54986
Phone: 920-385-9499
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for WINNEBAGO WELLNESS LLC

NPI Number 1568173326
Legal business name
LBN
WINNEBAGO WELLNESS LLC
Authorized official ADAM MOOTZ - (CHIROPRACTOR)
Entity Organization
Organization subpart No
Enumeration date 12/12/2022
Last updated 03/14/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • WI Medicaid: 1164820155

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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