Organization
FORD CHIROPRACTIC CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES T FORD III D.C. (OWNER)
(715) 341-0910
Entity
Organization
Contact information
Practice address
3108 CHURCH ST, STEVENS POINT, WI 54481-5305
(715) 341-0910
(715) 341-0093
Mailing address
3108 CHURCH ST, STEVENS POINT, WI 54481-5305
(715) 341-0910
(715) 341-0093
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1935
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38737700
—
WI
01
—
DG2212
RAILROAD MEDICARE
WI
Enumeration date
03/29/2007
Last updated
01/05/2012
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