Provider Demographics
NPI:1750486601
Name:KURT HUEMMER, DC, SC
Entity Type:Organization
Organization Name:KURT HUEMMER, DC, SC
Other - Org Name:DOWNTOWN MILWAUKEE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:HUEMMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:414-265-5606
Mailing Address - Street 1:2060 N HUMBOLDT BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-3504
Mailing Address - Country:US
Mailing Address - Phone:414-265-5606
Mailing Address - Fax:414-265-5649
Practice Address - Street 1:2060 N HUMBOLDT BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-3504
Practice Address - Country:US
Practice Address - Phone:414-265-5606
Practice Address - Fax:414-265-5649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3303111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty