Advanced Alternative Health Center LLC
Organization Active NPI Chiropractor · De Pere, WI
NPI 1285090761 · NPPES record last updated Jan 13, 2016
Key facts
- NPI
- 1285090761
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4996-12 (WI)
- Legal business name
- ADVANCED ALTERNATIVE HEALTH CENTER LLC
- Practice address
- 1700 Sand Acres Dr
Suite 5
De Pere, WI 54115-7563 - Phone
- (920) 360-5421
- NPI assigned
- Jan 13, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Karl Huebner, D.C.
- Title
- Chiropractor
- Phone
- (920) 360-5421
National Provider Directory
Locations
1700 Sand Acres Dr
Ste 5
De Pere, WI 54115
Phone (920) 360-5421
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 4996-12 | WI | Yes |
Addresses
Primary practice location
1700 Sand Acres Dr
Suite 5
De Pere, WI 54115-7563
Mailing address
1700 Sand Acres Dr
Suite 5
De Pere, WI 54115-7563
Phone (920) 360-5421
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285059980 | Other | WI | TYPE 1 NPI |
Other providers in De Pere, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.