Organization
PURPOSE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTY LORENTZ D.C. (OWNER)
(608) 386-7879
Entity
Organization
Contact information
Practice address
2850 NATIONAL DR # 105, ONALASKA, WI 54650-6732
(608) 519-5767
(608) 519-5768
Mailing address
2850 NATIONAL DR # 105, ONALASKA, WI 54650-6732
(608) 519-5767
(608) 519-5768
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3375
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38898200
—
WI
01
—
P00108135
RAILROAD MEDICARE PIN
WI
Enumeration date
04/08/2014
Last updated
04/08/2014
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