Provider Demographics
NPI:1467697466
Name:FLAMBEAU CHIROPRACTIC CENTER LTD
Entity Type:Organization
Organization Name:FLAMBEAU CHIROPRACTIC CENTER LTD
Other - Org Name:DALE G.SCHULTZ, DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-552-7205
Mailing Address - Street 1:2523 W FOLSOM ST
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54703-2463
Mailing Address - Country:US
Mailing Address - Phone:715-552-7205
Mailing Address - Fax:715-552-7207
Practice Address - Street 1:2523 W FOLSOM ST
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54703-2463
Practice Address - Country:US
Practice Address - Phone:715-552-7205
Practice Address - Fax:715-552-7207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center