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Organization

BBGH PARTNERSHIP

Active
Other names
COMMUNITY CHIROPRACTIC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BERNICE ELLIOTT D.C. (DOCTOR)
(262) 275-1700
Entity
Organization

Contact information

Practice address
541 KENOSHA ST, WALWORTH, WI 53184-9538
(262) 275-1700
(262) 275-8767
Mailing address
541 KENOSHA ST, WALWORTH, WI 53184-9538
(262) 275-1700
(262) 275-8767

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3166-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38927700
WI
Enumeration date
10/18/2006
Last updated
11/01/2007
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