Provider Demographics
NPI:1891979506
Name:MAURER CHIROPRACTIC CARE, LLC
Entity Type:Organization
Organization Name:MAURER CHIROPRACTIC CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:MAURER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-768-2273
Mailing Address - Street 1:249 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:REEDSBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53959-1939
Mailing Address - Country:US
Mailing Address - Phone:608-768-2273
Mailing Address - Fax:608-768-2274
Practice Address - Street 1:249 E MAIN ST
Practice Address - Street 2:
Practice Address - City:REEDSBURG
Practice Address - State:WI
Practice Address - Zip Code:53959-1939
Practice Address - Country:US
Practice Address - Phone:608-768-2273
Practice Address - Fax:608-768-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3664111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty