OTTO CHIROPRACTIC CLINIC, S.C. - NPI 1013103225 - Chiropractor in Green Bay, WI

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Otto Chiropractic Clinic, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OTTO CHIROPRACTIC CLINIC, S.C. (NPI 1013103225) is a healthcare organization registered as a chiropractor in Green Bay, Wisconsin and active in the NPI registry since September 2007. The organization lists Anthony James Otto, Owner/ President/doctor, as its authorized official.

NPPES Registry Identity

NPI1013103225

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameOTTO CHIROPRACTIC CLINIC, S.C.

Location Address1039 W MASON STGreen Bay, WI 54303-1842

Mailing Address1039 W Mason StGreen Bay, WI 54303-1842 · (920) 965-7757 · Fax (920) 739-3999

Phone(920) 965-7757

Fax(920) 739-3999

Organization SubpartNo

Authorized OfficialAnthony James OttoOwner/ President/doctor · (920) 965-7757

Enumeration DateSeptember 20, 2007

✔ NPI 1013103225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WI · 12-4315

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1039 W MASON ST, Green Bay, WI 54303

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP