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Organization

TWIT CHIROPRACTIC CLINIC, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEAN COLOMBE (OFFICE MANAGER)
(715) 341-8222
Entity
Organization

Contact information

Practice address
3125 MAIN STREET, STEVENS POINT, WI 54481
(715) 341-8222
(715) 341-3663
Mailing address
3125 MAIN STREET, STEVENS POINT, WI 54481
(715) 341-8222
(715) 341-3663

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1388
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
$$$$$$$$$
SOCIAL SECURITY
01
000075226
GROUP
WV
01
1388
STATE LICENSE
WI
05
38825600
WI
Enumeration date
05/03/2007
Last updated
05/21/2020
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