Individual
CHARITY K GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
600 NORTH THIRD ST, STE 201, LACROSSE, WI 54601-6299
(608) 782-6604
(608) 782-6335
Mailing address
600 NORTH THIRD ST, STE 201, LACROSSE, WI 54601-6299
(608) 782-6604
(608) 782-6335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3879012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000090256
COULEE CHIROPRACTIC CLINIC MEDICARE #
WI
05
—
38940300
—
WI
Enumeration date
11/08/2006
Last updated
11/20/2013
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