Organization
CARLSON CHIROPRACTIC CLINIC LLC
Active
Other names
Philip Carlson, D.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP JOHN CARLSON D.C. (OWNER)
(715) 223-1511
Entity
Organization
Contact information
Practice address
111 S. FIRST STREET, COLBY, WI 54421-0026
(715) 223-1511
(715) 223-1411
Mailing address
P.O. 26, 111 S. FIRST STREET, COLBY, WI 54421-0026
(715) 223-1511
(715) 223-1411
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3466-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38904300
—
WI
Enumeration date
08/26/2015
Last updated
08/26/2015
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