Organization
PELOCK CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH PELOCK D.C. (OWNER)
(608) 290-2366
Entity
Organization
Contact information
Practice address
2240 PRAIRIE AVE, SUITE 5, BELOIT, WI 53511-2648
(608) 290-2366
Mailing address
2240 PRAIRIE AVE, SUITE 5, BELOIT, WI 53511-2648
(608) 312-2586
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5109-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100049543
—
WI
Enumeration date
10/09/2015
Last updated
02/29/2016
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