Organization
DELOREY CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN D DELOREY D.O. (PRESIDENT)
(920) 965-6600
Entity
Organization
Contact information
Practice address
1488 MID VALLEY DR, DE PERE, WI 54115-9501
(920) 965-6600
(920) 965-6601
Mailing address
1488 MID VALLEY DR, DE PERE, WI 54115-9501
(920) 965-6600
(920) 965-6601
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3678-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38935600
—
WI
Enumeration date
10/17/2006
Last updated
12/22/2014
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