Organization
ESSENTIAL CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAY A FOGELTANZ DC (OWNER/MANAGER)
(920) 471-8973
Entity
Organization
Contact information
Practice address
2170 VELP AVE STE 105, GREEN BAY, WI 54303-6596
(920) 471-8973
(920) 465-6760
Mailing address
2969 MOSSY OAK CIR, GREEN BAY, WI 54311-5789
(920) 471-8973
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3574-12
WI
Other
Enumeration date
12/14/2010
Last updated
04/25/2023
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