Organization
ENLOE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE T. ENLOE D.C. (OWNER)
(608) 831-0453
Entity
Organization
Contact information
Practice address
1424 N HIGH POINT RD, SUITE 201, MIDDLETON, WI 53562-3682
(608) 831-0453
(608) 836-4884
Mailing address
1424 N HIGH POINT RD, SUITE 201, MIDDLETON, WI 53562-3682
(608) 831-0453
(608) 836-4884
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3418-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38901500
—
WI
Enumeration date
07/13/2007
Last updated
11/09/2012
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