# PROACTIVE CHIROPRACTIC S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184791717
- **Authorized official:** DR. JASON W LITWIN D.C. (PRESIDENT)
- **Authorized official phone:** (920) 734-7950

## Contact information

- **Practice address:** N162 EISENHOWER DR, SUITE 1200, APPLETON, WI 54915-6171
- **Practice address phone:** (920) 734-7950
- **Practice address fax:** (920) 734-7959
- **Mailing address:** N162 EISENHOWER DR, SUITE 1200, APPLETON, WI 54915-6171
- **Mailing address phone:** (920) 734-7950
- **Mailing address fax:** (920) 734-7959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3581-012 | WI | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 11/29/2012