Cody Chiropractic Wellness Center LLC
Organization Active NPI Chiropractor · Prairie Du Sac, WI
NPI 1508053307 · NPPES record last updated Apr 22, 2015
Key facts
- NPI
- 1508053307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4031012 (WI)
- Legal business name
- CODY CHIROPRACTIC WELLNESS CENTER LLC
- Practice address
- 462 Water St
Prairie Du Sac, WI 53578-1127 - Phone
- (608) 643-5060
- NPI assigned
- Sep 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Jonathan Cody, DC
- Title
- Member
- Phone
- (608) 643-5060
National Provider Directory
Locations
421 Water St
Ste 101
Prairie du Sac, WI 53578
Phone (608) 643-5060
462 Water St
Prairie du Sac, WI 53578
Phone (608) 643-5060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 4031012 | WI | Yes |
Addresses
Primary practice location
462 Water St
Prairie Du Sac, WI 53578-1127
Mailing address
462 Water St
Prairie Du Sac, WI 53578-1127
Phone (608) 643-5060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38954600 | Medicaid | WI |
Other providers in Prairie Du Sac, WI
- Emily M Campbell
- Sandra Carroll
- Alicia Christine Castillo
- Kelly Chernik
- Christianson Pfau Chiropractic LLC
- Jonathan P Cody
- Laura Cody
- Denise Marie Cole-Ouzounian
- Benjamin John Cooper
- Lisa M Czarnecki
All providers in Prairie Du Sac, WI · Chiropractor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2015. 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.