Organization
PERFORMANCE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JAMES BELLEAU BS, DC, CCSP, CKTP (DOCTOR)
(920) 406-8700
Entity
Organization
Contact information
Practice address
825 S HURON RD STE H, GREEN BAY, WI 54311-8029
(920) 406-8700
(920) 406-8712
Mailing address
825 S HURON RD STE H, GREEN BAY, WI 54311-8029
(920) 406-8700
(920) 406-8712
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2670-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38868000
—
WI
Enumeration date
01/19/2007
Last updated
08/22/2020
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