Organization
WELLNESS CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE E BROTSKI DC DICCP (CO OWNER)
(920) 262-0200
Entity
Organization
Contact information
Practice address
816 WEST ST, WATERTOWN, WI 53094-3608
(920) 262-0200
(920) 262-0210
Mailing address
816 WEST ST, WATERTOWN, WI 53094-3601
(920) 262-0200
(920) 262-0210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3025
WI
111N00000X
Chiropractor
3149
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000135820
MEDICARE
WI
01
—
000235820
MEDICARE
WI
Enumeration date
12/27/2006
Last updated
09/24/2010
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