Individual
DR. RICHARD G HABIGHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1981 MIDWAY RD, SUITE A, MENASHA, WI 54952-7001
(920) 882-7292
(920) 882-8973
Mailing address
1981 MIDWAY RD, SUITE A, MENASHA, WI 54952-7001
(920) 882-7292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1288
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38824900
—
WI
01
—
391451676012
BLUECROSS & BLUESHEILD
—
Enumeration date
06/14/2006
Last updated
05/24/2012
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