Organization
DAVIS CHIROPRACTIC SC
Active
Other names
Davis Chiropractic SC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE ALLEN DAVIS D.C. (OWNER)
(715) 743-3404
Entity
Organization
Contact information
Practice address
154 E. 5TH STREET, NEILLSVILLE, WI 54456-1610
(715) 743-3404
(715) 743-4999
Mailing address
154 E 5TH ST, NEILLSVILLE, WI 54456-1941
(715) 743-3404
(715) 743-4999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2082
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38795300
—
WI
Enumeration date
09/12/2006
Last updated
03/29/2013
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