Organization
ONE SOURCE WELLNESS AND CHIROPRACTIC LLC
Active
Other names
ONE SOURCE WELLNESS AND CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL EDWARD RALSTON DC (DC)
(262) 751-7505
Entity
Organization
Contact information
Practice address
13730 W GREENFIELD AVE, BROOKFIELD, WI 53005-7115
(262) 751-7505
Mailing address
13730 W GREENFIELD AVE, BROOKFIELD, WI 53005-7115
(262) 751-7505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3958-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111N00000X
TAXONOMY CHIROPRACTOR
WI
05
—
38947700
—
WI
Enumeration date
04/05/2016
Last updated
03/11/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us