Green Bay Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GREEN BAY CHIROPRACTIC CLINIC LLC

Practice address

515 S Military Ave
Green Bay, WI 54303-2209

Phone

(920) 490-0200

Fax

(920) 490-9698

NPI assigned

Jan 5, 2021

Last updated

Jan 5, 2021By 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

Dr. Maureen P O'Connor, DCNPI 1750465886

Title

Chiropractor/Owner

Phone

(920) 490-0200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maureen Patrice O'Connor, D.C.

  • Chiropractor
  • Green Bay, WI
  • NPI 1750465886
  NPD Authorized official

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1164010104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S MILITARY AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032209",
            "telephone_number": "920-490-0200",
            "fax_number": "920-490-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S MILITARY AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032209",
            "telephone_number": "920-490-0200",
            "fax_number": "920-490-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN BAY CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "920-490-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Bay Anesthesia Assoc. SC
• Green Bay Area Public School District
• Green Bay Cardiothoracic & Vascular LLC
• Green Bay Cardiothoracic & Vascular, LLC
• Green Bay Chest and Infectious Diseases SC
• Green Bay Counseling, Inc
• Green Bay Dental Professionals LLC
• Green Bay Doulas, LLC
• Green Bay Emergency Medicine Services S.C.
• Green Bay Emergency Physicians, LLC

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.