Organization
STONE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE SCHWALENBERG D.C. (DOCTOR OF CHIROPRACTIC)
(920) 462-0912
Entity
Organization
Contact information
Practice address
2450 CROOKS AVE, KAUKAUNA, WI 54130-3914
(920) 462-0912
(920) 462-0914
Mailing address
2450 CROOKS AVE, KAUKAUNA, WI 54130-3914
(920) 462-0912
(920) 462-0914
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4158-012
WI
111N00000X
Chiropractor
Primary
4159-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE6175
RAILROAD MEDICARE GROUP#
WV
01
—
P00304278
RR MEDICARDR. LIVINGSTONE
WI
Enumeration date
07/03/2006
Last updated
08/22/2020
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