Provider Demographics
NPI:1477211662
Name:BEHRELL STATELER CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BEHRELL STATELER CHIROPRACTIC LLC
Other - Org Name:MONROE CHIROPRACTIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:F
Authorized Official - Last Name:BEHRELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-328-8304
Mailing Address - Street 1:714 4TH AVE W
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WI
Mailing Address - Zip Code:53566-1039
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:714 4TH AVE W
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WI
Practice Address - Zip Code:53566-1039
Practice Address - Country:US
Practice Address - Phone:608-328-8304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-04
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty