Provider Demographics
NPI:1407113913
Name:KARLIK CHIROPRACTIC CENTER, S.C.
Entity Type:Organization
Organization Name:KARLIK CHIROPRACTIC CENTER, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONN
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:KARLIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:262-723-2256
Mailing Address - Street 1:PO BOX 354
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:WI
Mailing Address - Zip Code:53121-0354
Mailing Address - Country:US
Mailing Address - Phone:262-723-2256
Mailing Address - Fax:262-723-6295
Practice Address - Street 1:850 N WISCONSIN ST
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:WI
Practice Address - Zip Code:53121-1137
Practice Address - Country:US
Practice Address - Phone:262-723-2256
Practice Address - Fax:262-723-6295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2887-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty