Organization
PORT CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C REIF D.C. (PRESIDENT)
(262) 268-7066
Entity
Organization
Contact information
Practice address
1000 N WISCONSIN ST, PORT WASHINGTON, WI 53074-1285
(262) 284-7246
Mailing address
1000 N WISCONSIN ST, PORT WASHINGTON, WI 53074-1285
(262) 284-7246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3605-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38923600
—
WI
Enumeration date
08/05/2007
Last updated
08/20/2007
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