Abdoullah Aboulhassani, D.C

Individual provider Active NPI Chiropractor · Appleton, WI

NPI 1093806622 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1093806622
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
3647-012 (WI)
Practice address
1801 N Richmond St
Appleton, WI 54911-2730
Phone
(920) 831-4110
Fax
(920) 831-4111
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3647-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Chiropractic Office SC Chiropractor Past
since Jun 15, 2001
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3647-012 WI Yes

Addresses

Primary practice location

1801 N Richmond St
Appleton, WI 54911-2730

Mailing address

1426 S Commercial St
Neenah, WI 54956-4638
Phone (920) 725-0800

Other providers in Appleton, WI

All providers in Appleton, WI · Chiropractor in Wisconsin

Sources for this page

Verify at the official NPI Registry.