National Provider Identifier Database

BALDWIN CHIROPRACTIC HEALTH CENTER
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

BALDWIN CHIROPRACTIC HEALTH CENTER
1640 10TH AVENUE
BALDWIN, WI54002-0002
Phone: 715-684-3344
Fax: 715-684-3345
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BALDWIN CHIROPRACTIC HEALTH CENTER

NPI Number 1912988544
Legal business name
LBN
BALDWIN CHIROPRACTIC HEALTH CENTER
Authorized official DOUGLAS JACOT - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/10/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 1496
  • WI Medicaid: 38758200
  • WI Medicaid: 38864500

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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