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Contact Information

BAY CARE COMPLEMENTARY HEALTH
2845 GREENBRIER RD
GREEN BAY, WI54311-6519
 Phone: 920-288-8383
 Fax: 920-288-8385
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Neurology

111NN0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BAY CARE COMPLEMENTARY HEALTH

NPI Number 1780774760
LBN Legal business name BAY CARE COMPLEMENTARY HEALTH
Authorized official WADE SKOGMAN - (TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
WI License # 1783
WI License # 2216
WI License # 2312
WI License # 2576
WI License # 3140
WI Medicaid 38995400
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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