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Contact Information

BALDWIN CHIROPRACTIC HEALTH CENTER
1640 10TH AVENUE
BALDWIN, WI54002-0002
 Phone: 715-684-3344
 Fax: 715-684-3345
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BALDWIN CHIROPRACTIC HEALTH CENTER

NPI Number 1912988544
LBN Legal business name BALDWIN CHIROPRACTIC HEALTH CENTER
Authorized official DOUGLAS JACOT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/10/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
WI License # 1496
WI Medicaid 38758200
WI Medicaid 38864500
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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