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Contact Information

ABBIE GOODMAN, LLC
612 E LONGVIEW DR
APPLETON, WI54911-2155
 Phone: 920-427-6363
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ABBIE GOODMAN, LLC

NPI # 1942799101
LBN Legal business name ABBIE GOODMAN, LLC
Authorized official ABBIE GOODMAN - (OWNER/DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2018
Last updated 05/03/2018 - About 8 years ago
Identifiers
WI License # 5156-12
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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