Breath Of Life Chiropractic | |
1703 S Oneida St Suite C Appleton WI 54915-1524 | |
(920) 419-1457 | |
Not Available |
Full Name | Breath Of Life Chiropractic |
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Speciality | Clinic/center |
Location | 1703 S Oneida St, Appleton, Wisconsin |
Authorized Official Name and Position | Shae A Doran (OWNER) |
Authorized Official Contact | 9204191457 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Breath Of Life Chiropractic 3701 S Johann Dr Appleton WI 54915-7066 Ph: () - | Breath Of Life Chiropractic 1703 S Oneida St Suite C Appleton WI 54915-1524 Ph: (920) 419-1457 |
NPI Number | 1508159088 |
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Provider Enumeration Date | 05/17/2011 |
Last Update Date | 05/17/2011 |
Identifier | Type | State | Issuer |
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1508159088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 4205-12 (Wisconsin) | Primary |
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