Organization
BACK & NECK WELLNESS CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BONNIE JEAN LANGREHR D.C. (PRESIDENT)
(608) 222-4244
Entity
Organization
Contact information
Practice address
4222 MILWAUKEE ST, 83, MADISON, WI 53714-3508
(608) 222-4244
(608) 222-9341
Mailing address
4222 MILWAUKEE ST, 83, MADISON, WI 53714-3508
(608) 222-4244
(608) 222-9341
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2250-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699741801
NPI NUMBER
WI
Enumeration date
12/11/2006
Last updated
12/21/2022
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