National Provider Identifier Database

BACK IN ACTION CHIROPRACTIC CENTER 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

BACK IN ACTION CHIROPRACTIC CENTER, LLC
111 N 5TH ST
DE PERE, WI54115-2201
Phone: 920-336-9355
Fax: 920-336-9358
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BACK IN ACTION CHIROPRACTIC CENTER, LLC

NPI Number 1902963812
Legal business name
LBN
BACK IN ACTION CHIROPRACTIC CENTER, LLC
Authorized official STEVEN HANSEN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/02/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 3652-012

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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