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Contact Information

BADGERLAND CHIROPRACTIC LLC
2025 OLD HUMES RD
JANESVILLE, WI53545-0275
 Phone: 608-754-0148
 Fax: 608-754-0217
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BADGERLAND CHIROPRACTIC LLC

NPI Number 1861834020
LBN Legal business name BADGERLAND CHIROPRACTIC LLC
Authorized official RYAN DUNPHY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2013
Last updated 01/03/2014 - About 12 years ago
Identifiers
WI License # 4907-12
WI Medicaid 1912244765
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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