Organization Name: | WEST SALEM CHIROPRACTIC CLINIC, INC. |
NPI Number: | 1477727931 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL JOSEPH EORIATTI (PRESIDENT) |
Mailing Address: | 640 Commerce St West Salem |
State: | WI US |
Postal Code: | 546691179 |
Phone Number: | 6087863304 |
Fax Number: | 6087864574 |
NPI Enumeration Date: | 04/16/2008 |
NPI Last Update Date: | 04/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 3409-012 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |