Provider Demographics
NPI:1922792209
Name:PRECOUR CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:PRECOUR CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COLLIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PRECOUR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-339-2052
Mailing Address - Street 1:N9691 HWY 13 NORTH
Mailing Address - Street 2:
Mailing Address - City:PHILLIPS
Mailing Address - State:WI
Mailing Address - Zip Code:54555-7771
Mailing Address - Country:US
Mailing Address - Phone:715-339-2052
Mailing Address - Fax:715-339-2014
Practice Address - Street 1:N9691 HWY 13 NORTH
Practice Address - Street 2:
Practice Address - City:PHILLIPS
Practice Address - State:WI
Practice Address - Zip Code:54555-7771
Practice Address - Country:US
Practice Address - Phone:715-339-2052
Practice Address - Fax:715-339-2014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty