Provider Demographics
NPI:1760567218
Name:PATHWAYS FAMILY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:PATHWAYS FAMILY CHIROPRACTIC, INC.
Other - Org Name:PATHWAYS FAMILY CHIRORPACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEMEROW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-386-2424
Mailing Address - Street 1:86 COULEE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54106-2371
Mailing Address - Country:US
Mailing Address - Phone:715-386-2424
Mailing Address - Fax:715-386-2426
Practice Address - Street 1:86 COULEE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54106-2371
Practice Address - Country:US
Practice Address - Phone:715-386-2424
Practice Address - Fax:715-386-2426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty