# HABIGHORST CHIROPRACTIC SC

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

## Provider details

- **NPI number:** 1770758179
- **Authorized official:** RICHARD G HABIGHORST DC (PRESIDENT)
- **Authorized official phone:** (920) 882-7292

## Contact information

- **Practice address:** 1981 MIDWAY RD, SUITE A, MENASHA, WI 54952-7001
- **Practice address phone:** (920) 882-7292
- **Mailing address:** 1981 MIDWAY RD, SUITE A, MENASHA, WI 54952-7001
- **Mailing address phone:** (920) 882-7292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2008
- **Last updated:** 04/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 38824900 | — | WI |