North Country Chiropractic, S.C.
Organization Active NPI Chiropractor · Woodruff, WI
NPI 1295931442 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1295931442
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3912-012 (WI)
- Legal business name
- NORTH COUNTRY CHIROPRACTIC, S.C.
- Practice address
- 521 Hemlock St.
Woodruff, WI 54568 - Phone
- (715) 358-6650
- Fax
- (715) 358-6381
- NPI assigned
- Jun 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Kati L Havel, D.C.
- Title
- Owner
- Phone
- (715) 358-6650
Practitioners 5
-
Kati L Havel, DC
-
Vijai Paul Khan, D.C.
-
Jacob Lindner, DC
-
Dawn R Prei, D.C.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3912-012 | WI | Yes |
Addresses
Primary practice location
521 Hemlock St.
Woodruff, WI 54568
Mailing address
P.O. Box 2195
521 Hemlock St.
Woodruff, WI 54568
Phone (715) 358-6650
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38965900 | Medicaid | WI |
Other providers in Woodruff, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.