Organization Name: | CHIRO-HEALTH |
NPI Number: | 1235564055 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETER GEARY (CHIROPRACTOR) |
Mailing Address: | 1370 Pabst Farms Cir Unit 345 Oconomowoc |
State: | WI US |
Postal Code: | 530664880 |
Phone Number: | 2622002702 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2013 |
NPI Last Update Date: | 09/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |