Organization
PROSPINE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY RICHARDS D.C. (OFFICER)
(608) 728-4973
Entity
Organization
Contact information
Practice address
3601 N COUNTY ROAD H, JANESVILLE, WI 53548-8107
(608) 728-4973
Mailing address
827 BROWN SCHOOL ROAD, EVANSVILLE, WI 53536
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
4523-012
WI
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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