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Contact Information

PONICK CHIROPRACTIC
9520 COUNTY HIGHWAY H
STANLEY, WI54768-6033
 Phone: 715-644-5428
 Fax: 715-644-5486
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for PONICK CHIROPRACTIC

NPI # 1730463050
LBN Legal business name PONICK CHIROPRACTIC
Authorized official KIM PONICK - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2011
Last updated 05/09/2012 - About 14 years ago
Identifiers
WI License # 2802-12
WI Medicaid 38861300
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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