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SHEBOYGAN CHIROPRACTIC PLUS LLC NPI 1740329937


NPI Information

NPI: 1740329937
Provider Name: SHEBOYGAN CHIROPRACTIC PLUS LLC

Former Legal Business Name: ENDRU FAMILY CHIROPRACTIC LLC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1028B INDIANA AVE
SHEBOYGAN, WI
ZIP 53081
Phone: (920) 208-7000
Get Directions

SHEBOYGAN CHIROPRACTIC PLUS LLC is a chiropractor in Sheboygan, WI. 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. SHEBOYGAN CHIROPRACTIC PLUS LLC NPI is 1740329937. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Endru Family Chiropractic Llc.

The provider's business location address is:

1028B INDIANA AVE
SHEBOYGAN, WI
ZIP 53081-913
Phone: (920) 208-7000
Fax: (920) 457-6335

The provider's authorized official is Amy M Endru .
The authorized official title is Chiropractor and has the following contact phone number (920) 208-7000.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 1/7/2015.


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
1111N00000XChiropractor3638-012WISCONSINYes

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
1U79114MEDICARE UPINWISCONSIN
238923000MEDICAIDWISCONSIN

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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