Individual
DR. CHELSEA PROTHERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2639 UNIVERSITY AVE, STE 200, MADISON, WI 53705-3750
(608) 721-1445
Mailing address
2639 UNIVERSITY AVE, STE 200, MADISON, WI 53705-3750
(608) 721-1445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4962
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100037386
—
WI
01
—
K400130652
MEDICARE PTAN
WI
Enumeration date
01/22/2013
Last updated
02/09/2016
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