Provider Demographics
NPI:1073604427
Name:STRONG CHIROPRACTIC OFFICE SC
Entity Type:Organization
Organization Name:STRONG CHIROPRACTIC OFFICE SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:STRONG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:920-725-0800
Mailing Address - Street 1:1426 S COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-4638
Mailing Address - Country:US
Mailing Address - Phone:920-725-0800
Mailing Address - Fax:920-725-6305
Practice Address - Street 1:1426 S COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956-4638
Practice Address - Country:US
Practice Address - Phone:920-725-0800
Practice Address - Fax:920-725-6305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI000070840Medicare PIN