Organization
BALDWIN CHIROPRACTIC HEALTH CENTER
Active
Other names
Durand Chiropractic Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS EARL JACOT DC (PRESIDENT)
(715) 684-3344
Entity
Organization
Contact information
Practice address
1640 10TH AVENUE, BALDWIN, WI 54002-0002
(715) 684-3344
(715) 684-3345
Mailing address
PO BOX 2, BALDWIN, WI 54002-0002
(715) 684-3344
(715) 684-3345
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1496
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38758200
—
WI
05
—
38864500
—
WI
Enumeration date
11/10/2005
Last updated
08/22/2020
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