Provider Demographics
NPI:1093961526
Name:PLAZA CHIROPRACTIC CTR
Entity Type:Organization
Organization Name:PLAZA CHIROPRACTIC CTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIR.
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:F
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-326-8712
Mailing Address - Street 1:1620 S. MAQ. RD
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE DU CHIEN
Mailing Address - State:WI
Mailing Address - Zip Code:53821-3012
Mailing Address - Country:US
Mailing Address - Phone:608-326-8712
Mailing Address - Fax:608-326-7053
Practice Address - Street 1:1620 S. MAQ. RD
Practice Address - Street 2:
Practice Address - City:PRAIRIE DU CHIEN
Practice Address - State:WI
Practice Address - Zip Code:53821-3012
Practice Address - Country:US
Practice Address - Phone:608-326-8712
Practice Address - Fax:608-326-7053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-15
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1263-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty