Provider Demographics
NPI:1518495886
Name:FIRST CARE CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:FIRST CARE CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ASMONDY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:920-235-5522
Mailing Address - Street 1:1177 S WASHBURN ST
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54904-8053
Mailing Address - Country:US
Mailing Address - Phone:920-235-5522
Mailing Address - Fax:920-235-6417
Practice Address - Street 1:1177 S WASHBURN ST
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54904-8053
Practice Address - Country:US
Practice Address - Phone:920-235-5522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-31
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5255-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty