Provider Demographics
NPI:1962042291
Name:FLEX CARE CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:FLEX CARE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZACH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUDY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:262-617-0110
Mailing Address - Street 1:W359N5920 BROWN ST STE 112
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-2488
Mailing Address - Country:US
Mailing Address - Phone:262-560-4977
Mailing Address - Fax:
Practice Address - Street 1:W359N5920 BROWN ST STE 112
Practice Address - Street 2:
Practice Address - City:OCONOMOWOC
Practice Address - State:WI
Practice Address - Zip Code:53066-2488
Practice Address - Country:US
Practice Address - Phone:262-560-4977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-15
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty