Ellsworth Chiropractic INC

NPI #1659557510 in Ellsworth, Wisconsin

Provider Information

NPI Number: 1659557510
Entity Type: Organization
Organization Name: Ellsworth Chiropractic INC
Primary Specialty: Chiropractor
Enumeration Date: Jan 10, 2008
Last Updated: Apr 20, 2009

Practice Location

Address: 187 E MAIN ST
City: Ellsworth
State: Wisconsin
ZIP Code: 54011
Phone: (715) 273-4115

Authorized Official

Name: DR. GAYLE A NISSEN, DC
Title: PRESIDENT/OWNER
Phone: (715) 273-4115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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