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Organization
FAMILY CHIROCARE SC
Active
Organization
FAMILY CHIROCARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE JASON ALBRIGHTSON D.C. (OWNER)
(715) 265-7267
Entity
Organization
Contact information
Practice address
144 OAK STREET, GLENWOOD CITY, WI 54013
(715) 265-7267
(715) 265-7977
Mailing address
PO BOX 219, 144 OAK STREET, GLENWOOD CITY, WI 54013-0219
(715) 265-7267
(715) 265-7977
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2311
WI
111N00000X
Chiropractor
Primary
3566-012
WI
111N00000X
Chiropractor
3886-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116M2FA
BCBS OF MN
WI
05
—
38984400
—
WI
01
—
391685971015
BCBS OF WI
WI
Enumeration date
02/27/2007
Last updated
02/28/2013
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