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WISE CRACKS LLC NPI 1912761255


NPI Information

NPI: 1912761255
Provider Name: WISE CRACKS LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 10D2266803

Address:
499 E CENTRAL PKWY STE 245
ALTAMONTE SPRINGS, FL
ZIP 32701
Phone: (407) 332-1904
Get Directions

WISE CRACKS LLC is a chiropractor in Altamonte Springs, FL. 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. WISE CRACKS LLC NPI is 1912761255. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

499 E CENTRAL PKWY STE 245
ALTAMONTE SPRINGS, FL
ZIP 32701-401
Phone: (407) 332-1904
Fax: (407) 332-1206

The provider's authorized official is Joshua Ryan Tanner .
The authorized official title is Chiropractor/owner and has the following contact phone number (407) 332-1904.

The CLIA number assigned to this NPI record is 10D2266803 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2024 and was last updated on 2/8/2024.


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
1111N00000XChiropractorYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.