Clifford Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CLIFFORD CHIROPRACTIC, INC.

Practice address

1957 Cty Rd. XX
Mosinee, WI 54455-9026

Phone

(715) 355-9009

Fax

(715) 355-9109

NPI assigned

Apr 4, 2012

Last updated

Apr 4, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Becky Louise Fliss

Title

Office Manager

Phone

(715) 355-9009

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1093071904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 CTY RD. XX",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544559026",
            "telephone_number": "715-355-9009",
            "fax_number": "715-355-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 CTY RD. XX",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544559026",
            "telephone_number": "715-355-9009",
            "fax_number": "715-355-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "FLISS",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-355-9009",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38942900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Mosinee, WI
• Providers in Mosinee, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.