Organization
CHIROPRACTIC ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES D BLODGETT DC (PARTNER DOCTOR)
(414) 476-6300
Entity
Organization
Contact information
Practice address
1467 S 108TH ST, WEST ALLIS, WI 53214-4018
(414) 476-6300
(414) 476-6319
Mailing address
1467 S 108TH ST, WEST ALLIS, WI 53214-4018
(414) 476-6300
(414) 476-6319
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38995200
—
WV
Enumeration date
12/21/2006
Last updated
08/22/2020
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