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Contact Information

PARK PLACE CHIROPRACTIC, LLC
1831 W COURT ST
JANESVILLE, WI53548-3406
 Phone: 608-754-7463
 Fax: 608-754-1437
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for PARK PLACE CHIROPRACTIC, LLC

NPI # 1205961331
LBN Legal business name PARK PLACE CHIROPRACTIC, LLC
Authorized official ANDREW PAULL - (CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
WI License # 4035-012
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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