National Provider Identifier Database

BAYSIDE 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

BAYSIDE CHIROPRACTIC LLC
1700 SAND ACRES DR STE 2A
DE PERE, WI54115-7562
Phone: 920-591-0141
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BAYSIDE CHIROPRACTIC LLC

NPI Number 1659709376
Legal business name
LBN
BAYSIDE CHIROPRACTIC LLC
Authorized official CONNON PIENCIKOWSKI - (CHIROPRACTOR)
Entity Organization
Organization subpart No
Enumeration date 10/15/2013
Last updated 05/28/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 4214-012
  • WI Other: K100119441 PTAN

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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