Organization
BROWN FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY MARIE NICCOLAI (OFFICE MANAGER)
(262) 598-0918
Entity
Organization
Contact information
Practice address
6240 BANKERS RD, MOUNT PLEASANT, WI 53403-9747
(262) 598-0918
(262) 598-0941
Mailing address
6232 BANKERS RD LOWR LEVEL, MOUNT PLEASANT, WI 53403-9747
(262) 598-0918
(262) 598-0941
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2961-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38873500
—
WI
Enumeration date
09/10/2013
Last updated
12/06/2021
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