Provider Demographics
NPI:1750323242
Name:CHIROPRACTIC COMPANY - MKE DOWNTOWN LTD
Entity Type:Organization
Organization Name:CHIROPRACTIC COMPANY - MKE DOWNTOWN LTD
Other - Org Name:CHIROPRACTIC COMPANY - MILWAUKEE DOWNTOWN LTD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:CORSI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:414-354-5377
Mailing Address - Street 1:270 E HIGHLAND AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-6605
Mailing Address - Country:US
Mailing Address - Phone:414-220-9441
Mailing Address - Fax:414-327-0988
Practice Address - Street 1:270 E HIGHLAND AVE STE A
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-6605
Practice Address - Country:US
Practice Address - Phone:414-220-9441
Practice Address - Fax:143-270-0988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1413-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty