Organization
WEBLEY CHIROPRACTIC CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D WEBLEY JR. DC (OWNER)
(262) 763-6000
Entity
Organization
Contact information
Practice address
1050 MILWAUKEE AVE, SUITE 101, BURLINGTON, WI 53105-1362
(262) 763-6000
(262) 763-1886
Mailing address
1050 MILWAUKEE AVE STE 101, P.O. BOX 698, BURLINGTON, WI 53105-1362
(262) 763-6000
(262) 763-1886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3283-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000035912
MEDICARE GROUP UNSPECIFIED
WI
05
—
38897100
—
WI
Enumeration date
12/18/2006
Last updated
04/01/2014
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