Provider Demographics
NPI:1376102954
Name:HEALTH JOURNEY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:HEALTH JOURNEY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LUHRS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-274-7090
Mailing Address - Street 1:PO BOX 500
Mailing Address - Street 2:
Mailing Address - City:MC FARLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53558-0500
Mailing Address - Country:US
Mailing Address - Phone:608-274-7090
Mailing Address - Fax:
Practice Address - Street 1:5973 EXECUTIVE DR UNIT 3
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53719-5336
Practice Address - Country:US
Practice Address - Phone:608-274-7090
Practice Address - Fax:608-274-4075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-07
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty