Organization
RADIANT LIFE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT NIGBOR D.C. (MEMBER)
(608) 455-0020
Entity
Organization
Contact information
Practice address
2475 LINEVILLE RD STE B, GREEN BAY, WI 54313-7153
(262) 751-8857
Mailing address
2475 LINEVILLE RD STE B, GREEN BAY, WI 54313-7153
(608) 455-0020
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5050-12
WI
Other
Enumeration date
05/20/2015
Last updated
04/11/2023
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