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Contact Information

BLACK CREEK CHIROPRACTIC OFFICE LLC
411 S MAIN ST
BLACK CREEK, WI54106-9501
 Phone: 920-984-3353
 Fax: 920-984-3354
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BLACK CREEK CHIROPRACTIC OFFICE LLC

NPI Number 1730578915
LBN Legal business name BLACK CREEK CHIROPRACTIC OFFICE LLC
Authorized official DARREL KLEMP - (SOLE MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2015
Last updated 01/12/2015 - About 11 years ago
Identifiers n/a
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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