Chiromed, LLC

Organization Active NPI Primary Care Clinic/Center · Onalaska, WI

NPI 1396041091 · NPPES record last updated Nov 14, 2011

Key facts

NPI
1396041091
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
License
20493 (WI)
Legal business name
CHIROMED, LLC
Practice address
1202 County Road PH
Suite 400
Onalaska, WI 54650-8439
Phone
(608) 781-2225
Fax
(608) 781-2495
NPI assigned
Jan 28, 2011
Organization subpart
No

Authorized official

Name
Dr. Leo Bronston, D.C.
Title
Doctor of Chiropractic
Phone
(608) 781-2225

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Chiromed Clinics LLC (2 organizations share this tax ID)

Locations

1202 County Road PH
Ste 400
Onalaska, WI 54650
Phone (608) 781-2225

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 20493 WI Yes

Addresses

Primary practice location

1202 County Road PH
Suite 400
Onalaska, WI 54650-8439

Mailing address

1202 County Road PH
Suite 400
Onalaska, WI 54650-8439
Phone (608) 781-2225

Other providers in Onalaska, WI

All providers in Onalaska, WI · Primary Care Clinic/Center in Wisconsin

Sources for this page

Verify at the official NPI Registry.