Provider Demographics
NPI:1225374960
Name:BINDER, AMANDA ERIN (DC)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:ERIN
Last Name:BINDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 N ROCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:MUKWONAGO
Mailing Address - State:WI
Mailing Address - Zip Code:53149-1139
Mailing Address - Country:US
Mailing Address - Phone:262-363-5021
Mailing Address - Fax:262-363-5037
Practice Address - Street 1:603 N ROCHESTER ST
Practice Address - Street 2:
Practice Address - City:MUKWONAGO
Practice Address - State:WI
Practice Address - Zip Code:53149-1139
Practice Address - Country:US
Practice Address - Phone:262-363-5021
Practice Address - Fax:262-363-5037
Is Sole Proprietor?:No
Enumeration Date:2012-12-28
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4917-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor