Organization
LIFETIME CHIROPRACTIC SERVICE CORPORATION
Active
Other names
Chiropractic USA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENIFER E ESPENSCHEID DC (PRESIDENT)
(920) 885-4288
Entity
Organization
Contact information
Practice address
1196 N MAYFLOWER DR, APPLETON, WI 54913-9656
(920) 830-4552
(920) 830-4553
Mailing address
708 BEAVER ST, BEAVER DAM, WI 53916-1628
(920) 885-4288
(920) 885-0643
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3419-012
WI
Other
Enumeration date
05/12/2006
Last updated
08/22/2020
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