Provider Demographics
NPI:1497945778
Name:NEENAH FAMILY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:NEENAH FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:RICHTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:920-969-1882
Mailing Address - Street 1:116 W COLUMBIAN AVE
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-3018
Mailing Address - Country:US
Mailing Address - Phone:920-969-1882
Mailing Address - Fax:920-886-3613
Practice Address - Street 1:116 W COLUMBIAN AVE
Practice Address - Street 2:
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956-3018
Practice Address - Country:US
Practice Address - Phone:920-969-1882
Practice Address - Fax:920-886-3613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty