Organization
VIBRANT LIFE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHE RICHARD PURTELL DC (OWNER)
(920) 379-2639
Entity
Organization
Contact information
Practice address
1956 S KOELLER ST, OSHKOSH, WI 54902-6153
(920) 385-4073
(920) 385-1594
Mailing address
1956 S KOELLER ST, OSHKOSH, WI 54902-6153
(920) 385-4073
(920) 385-1594
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
08/22/2019
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