Provider Demographics
NPI:1114107950
Name:BELOW CHIROPRACTIC INC
Entity Type:Organization
Organization Name:BELOW CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:D
Authorized Official - Last Name:BELOW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-253-2239
Mailing Address - Street 1:P O BOX 301
Mailing Address - Street 2:
Mailing Address - City:WITTENBERG
Mailing Address - State:WI
Mailing Address - Zip Code:54499
Mailing Address - Country:US
Mailing Address - Phone:715-253-2239
Mailing Address - Fax:715-253-3331
Practice Address - Street 1:406 S HOWARD ST
Practice Address - Street 2:
Practice Address - City:WITTENBERG
Practice Address - State:WI
Practice Address - Zip Code:54499-0003
Practice Address - Country:US
Practice Address - Phone:715-253-2239
Practice Address - Fax:715-253-3331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1816111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty