Organization Name: | NORTH COUNTRY CHIROPRACTIC & WELLNESS LLC |
NPI Number: | 1861799975 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VIJAI KHAN (CHIROPRACTOR) |
Mailing Address: | 521 Hemlock St Woodruff |
State: | WI US |
Postal Code: | 545689197 |
Phone Number: | 7153586650 |
Fax Number: | 7153586381 |
NPI Enumeration Date: | 02/25/2011 |
NPI Last Update Date: | 02/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4725-12 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |