# LUXEMBURG FAMILY CHIROPRACTIC, SC

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

## Provider details

- **NPI number:** 1548367824
- **Authorized official:** DR. MARTIN JACOBSON DC (PRESIDENT)
- **Authorized official phone:** (920) 845-5569

## Contact information

- **Practice address:** 195 CENTER DR, SUITE 102, LUXEMBURG, WI 54217-1016
- **Practice address phone:** (920) 845-5569
- **Practice address fax:** (920) 845-5856
- **Mailing address:** 195 CENTER DR, SUITE 102, LUXEMBURG, WI 54217-1016
- **Mailing address phone:** (920) 845-5569
- **Mailing address fax:** (920) 845-5856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2782-012 | WI | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 38871600 | — | WI |