Organization
SHIVAM 2 HOLDINGS LLC
Active
Parent organization
SHIVAM 2 HOLDINGS LLC
Other names
Chirology
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHIVAM 2 HOLDINGS LLC
Authorized official
RAVI PATEL DC (PRESIDENT)
(920) 256-0392
Entity
Organization
Contact information
Practice address
3221 VOYAGER DR, GREEN BAY, WI 54311-8349
(920) 256-0392
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
05/21/2021
Last updated
05/06/2022
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