GREEN BAY CHIROPRACTIC CLINIC LLC
NPI 1164010104
Chiropractor in Green Bay, WI

Active since January 05, 2021
515 S MILITARY AVE, GREEN BAY, WI 54303(920) 490-0200(920) 490-9698 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Green Bay Chiropractic Clinic Llc NPPES

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

GREEN BAY CHIROPRACTIC CLINIC LLC (NPI 1164010104) is a healthcare organization registered as a chiropractor in Green Bay, Wisconsin and active in the NPI registry since January 2021. The organization lists Maureen P O'connor, Chiropractor/owner, as its authorized official.

NPPES Registry Identity

NPI1164010104
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGREEN BAY CHIROPRACTIC CLINIC LLC
Location Address515 S MILITARY AVEGreen Bay, WI 54303-2209
Mailing Address515 S Military AveGreen Bay, WI 54303-2209 · (920) 490-0200 · Fax (920) 490-9698
Fax(920) 490-9698
Organization SubpartNo
Authorized OfficialMaureen P O'connorChiropractor/owner · (920) 490-0200
Enumeration DateJanuary 5, 2021
NPPES CertifiedJanuary 5, 2021
NPI 1164010104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
515 S MILITARY AVE, Green Bay, WI 54303

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
515 S MILITARY AVE
GREEN BAY, WI 54303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Green Bay Chiropractic Clinic LLC's NPI number?

The NPI number for Green Bay Chiropractic Clinic LLC is 1164010104. It was assigned to this organization in the NPPES registry on January 5, 2021.

Where is Green Bay Chiropractic Clinic LLC located?

Green Bay Chiropractic Clinic LLC is located at 515 S Military Ave, Green Bay, WI 54303. The listed phone number is (920) 490-0200.

What is Green Bay Chiropractic Clinic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Green Bay Chiropractic Clinic LLC was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.