Provider Demographics
NPI:1154082097
Name:D&D CHIROPRACTIC AND WELLNESS, LLC
Entity Type:Organization
Organization Name:D&D CHIROPRACTIC AND WELLNESS, LLC
Other - Org Name:D&D CHIROPRACTIC AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:920-532-9071
Mailing Address - Street 1:444 JANET LN
Mailing Address - Street 2:
Mailing Address - City:WRIGHTSTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:54180-1158
Mailing Address - Country:US
Mailing Address - Phone:920-265-5910
Mailing Address - Fax:
Practice Address - Street 1:450 HIGH ST # 5B
Practice Address - Street 2:
Practice Address - City:WRIGHTSTOWN
Practice Address - State:WI
Practice Address - Zip Code:54180-1253
Practice Address - Country:US
Practice Address - Phone:920-532-9071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty