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LIFE CLINIC OF WI SC
NPI 1295378875
Chiropractor in Brookfield, WI

Active since October 25, 2019
17585 GOLF PKWY, BROOKFIELD, WI 53045(952) 229-7464 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2022, Nov 18, 2019, Oct 25, 2019 (3 updates tracked since 2019).

About Life Clinic Of Wi Sc NPPES

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

LIFE CLINIC OF WI SC (NPI 1295378875) is a healthcare organization registered as a chiropractor in Brookfield, Wisconsin and active in the NPI registry since October 2019. The organization lists Reza Alizadeh, Owner, as its authorized official.

NPPES Registry Identity

NPI1295378875
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFE CLINIC OF WI SC
Location Address17585 GOLF PKWYBrookfield, WI 53045-2948
Mailing AddressPo Box 549Chanhassen, MN 55317-0549
Phone(952) 229-7464
Organization SubpartNo
Authorized OfficialReza AlizadehOwner · (612) 868-6894
Enumeration DateOctober 25, 2019
Last NPPES UpdateJanuary 26, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2022
✔ NPI 1295378875 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.
17585 GOLF PKWY, Brookfield, WI 53045
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

NICHOLAS AGEN
Chiropractor
17585 GOLF PKWY
BROOKFIELD, WI 53045
Waukesha County (262) 899-7158

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 Life Clinic Of Wi Sc's NPI number?

The NPI number for Life Clinic Of Wi Sc is 1295378875. It was assigned to this organization in the NPPES registry on October 25, 2019.

Where is Life Clinic Of Wi Sc located?

Life Clinic Of Wi Sc is located at 17585 Golf Pkwy, Brookfield, WI 53045. The listed phone number is (952) 229-7464.

What is Life Clinic Of Wi Sc'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 Life Clinic Of Wi Sc was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.