National Chiropractic, LLC

NPI #1235398272 in West Allis, Wisconsin

Provider Information

NPI Number: 1235398272
Entity Type: Organization
Organization Name: National Chiropractic, LLC
Primary Specialty: Chiropractor
Enumeration Date: Jun 5, 2008
Last Updated: Jun 5, 2008

Practice Location

Address: 5800 W NATIONAL AVE
City: West Allis
State: Wisconsin
ZIP Code: 53214-3446
Phone: (414) 431-0936

Authorized Official

Name: DR. BRIAN FORMOLO, DC
Title: OWNER
Phone: (414) 431-0936

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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