Organization
HUDSON CHIROPRACTIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS RICHARD BEAUCHAMP DC (PRESIDENT)
(715) 386-6100
Entity
Organization
Contact information
Practice address
1810 WEBSTER ST, SUITE 2, HUDSON, WI 54016-9305
(715) 386-6100
(715) 386-6298
Mailing address
1810 WEBSTER ST, SUITE 2, HUDSON, WI 54016-9305
(715) 386-6100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4313
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045N7HU
BLUE CLOSS AND BLUE SHIELD OF MINNESOTA
MN
Enumeration date
07/12/2007
Last updated
09/08/2008
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