East Fountain Chiropractic Llc is a health care provider in Greenwood, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.
Basic Information| Practice Location | 124 N Main St, Greenwood, WI 54437-9419, US | ||
|---|---|---|---|
| Practice Location Phone | 715-267-7000 | ||
| Practice Location Fax | |||
| Legal Business Name | EAST FOUNTAIN CHIROPRACTIC LLC | ||
| NPI ? | 1164931473 | ||
| Entity Type | Organization | ||
| Enumeration Date ? | Sep 29, 2017 | ||
| Last Update Date ? | Oct 5, 2017 | ||
| Note: NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS). | |||
Specialties & Licenses of East Fountain Chiropractic Llc| Specialty | Provider Type | Specialization | License | License State |
|---|---|---|---|---|
| Chiropractor | Chiropractic Providers | 5297-12 | Wisconsin | |
Authorized Official of East Fountain Chiropractic LlcAn authorized official is an appointed official with the legal authority to make changes and/or updates to the East Fountain Chiropractic Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
| Authorized Official | Dr. Kati Ghess (DC) |
|---|---|
| Authorized Official Title/Position | OWNER |
| Authorized Official Phone Number | 715-267-7000 |
