TENNISWOOD FAMILY CHIROPRACTIC S.C. - NPI 1629251160

Q: What is the provider's specialty?

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

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About Tenniswood Family Chiropractic S.c. NPPES

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

TENNISWOOD FAMILY CHIROPRACTIC S.C. (NPI 1629251160) is a healthcare organization registered as a chiropractor in West Salem, Wisconsin and active in the NPI registry since December 2007. The organization lists Stephen S Tenniswood, Owner, as its authorized official.

NPPES Registry Identity

NPI1629251160

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameTENNISWOOD FAMILY CHIROPRACTIC S.C.

Location Address1537 HERITAGE BLVD, 1537 HERITAGE BLVDWest Salem, WI 54669-9404

Mailing AddressPo Box 852, 1537 Heritage BlvdWest Salem, WI 54669-0852 · (608) 786-3670 · Fax (608) 786-3672

Phone(608) 786-3670

Fax(608) 786-3672

Organization SubpartNo

Authorized OfficialStephen S TenniswoodOwner · (608) 786-3670

Enumeration DateDecember 6, 2007

Last NPPES UpdateDecember 30, 2011

✔ NPI 1629251160 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.

1537 HERITAGE BLVD, West Salem, WI 54669

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Other Identifiers 1

Medicare UPIN000070920WI

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