Organization
LUXEMBURG FAMILY CHIROPRACTIC, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN JACOBSON DC (PRESIDENT)
(920) 845-5569
Entity
Organization
Contact information
Practice address
195 CENTER DR, SUITE 102, LUXEMBURG, WI 54217-1016
(920) 845-5569
(920) 845-5856
Mailing address
195 CENTER DR, SUITE 102, LUXEMBURG, WI 54217-1016
(920) 845-5569
(920) 845-5856
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2782-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38871600
—
WI
Enumeration date
09/20/2006
Last updated
08/09/2007
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