Provider Demographics
NPI:1639576259
Name:POSPISCHIL, ANNE (DC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:POSPISCHIL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:GEHLSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:427 MAIN ST
Mailing Address - Street 2:PO BOX 699
Mailing Address - City:PECATONICA
Mailing Address - State:IL
Mailing Address - Zip Code:61063-7737
Mailing Address - Country:US
Mailing Address - Phone:815-239-1121
Mailing Address - Fax:815-239-2766
Practice Address - Street 1:427 MAIN ST
Practice Address - Street 2:
Practice Address - City:PECATONICA
Practice Address - State:IL
Practice Address - Zip Code:61063-7737
Practice Address - Country:US
Practice Address - Phone:815-239-1121
Practice Address - Fax:815-239-2766
Is Sole Proprietor?:No
Enumeration Date:2014-11-25
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor