Provider Demographics
NPI:1356840326
Name:EMCUBED, LLC
Entity Type:Organization
Organization Name:EMCUBED, LLC
Other - Org Name:NEW HEALTH CHIROPRACTIC AND INTEGRATED HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:MERRION
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-442-9697
Mailing Address - Street 1:2690 RESEARCH PARK DR STE A
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53711-4921
Mailing Address - Country:US
Mailing Address - Phone:608-273-2222
Mailing Address - Fax:
Practice Address - Street 1:2690 RESEARCH PARK DR STE A
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53711-4921
Practice Address - Country:US
Practice Address - Phone:608-273-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5254-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty