# GATEWAY CHIROPRACTIC S C

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

## Provider details

- **NPI number:** 1659423416
- **Authorized official:** DR. JASON LANG D.C. (OWNER)
- **Authorized official phone:** (920) 731-3255

## Contact information

- **Practice address:** 4070 W SPENCER ST, APPLETON, WI 54914-4015
- **Practice address phone:** (920) 731-3255
- **Practice address fax:** (920) 731-3357
- **Mailing address:** 4070 W SPENCER ST, APPLETON, WI 54914-4015
- **Mailing address phone:** (920) 731-3255
- **Mailing address fax:** (920) 731-3357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3820-012 | WI | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 06/19/2013