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SPENCER L WOODWARD DC NPI 1093701567


NPI Information

NPI: 1093701567
Provider Name: SPENCER L WOODWARD, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
820 GEORGE ST
DE PERE, WI
ZIP 54115
Phone: (920) 336-2921
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Spencer L Woodward, DC is a chiropractor in De Pere, WI with 49 years of experience. The provider is 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. Spencer L Woodward, DC NPI is 1093701567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year:1975

The provider's business location address is:

820 GEORGE ST
DE PERE, WI
ZIP 54115-916
Phone: (920) 336-2921
Fax: (920) 336-8229

The enumeration date for this NPI number is 9/21/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor1347012WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
138829500MEDICAIDWISCONSIN
2T63716MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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