Organization
COUNTRYVIEW CHIROPRACTIC CLINIC, S.C.
Active
Other names
Schuelke Chiropractic Clinic, S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WARREN PENSIS D.C. (PRESIDENT)
(715) 526-6158
Entity
Organization
Contact information
Practice address
W5675 CTY HWY B, SHAWANO, WI 54166-0060
(715) 526-6158
(715) 526-6178
Mailing address
PO BOX 60, SHAWANO, WI 54166-0060
(715) 526-6158
(715) 526-6178
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38982000
—
WI
Enumeration date
01/08/2007
Last updated
04/22/2013
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