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Contact Information

BAYSIDE CHIROPRACTIC LLC
1700 SAND ACRES DR STE 2A
DE PERE, WI54115-7562
 Phone: 920-591-0141
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BAYSIDE CHIROPRACTIC LLC

NPI # 1659709376
LBN Legal business name BAYSIDE CHIROPRACTIC LLC
Authorized official CONNON PIENCIKOWSKI - (CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/15/2013
Last updated 05/28/2020 - About 6 years ago
Identifiers
WI License # 4214-012
WI Other K100119441 PTAN
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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