Provider Demographics
NPI:1205092491
Name:WINCHEL CHIROPRACTIC CLINIC, INC
Entity type:Organization
Organization Name:WINCHEL CHIROPRACTIC CLINIC, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/D.C.
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:JULIUS
Authorized Official - Last Name:WINCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:414-517-4292
Mailing Address - Street 1:148 N BELVEDERE DR
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-5418
Mailing Address - Country:US
Mailing Address - Phone:414-517-4292
Mailing Address - Fax:615-355-0631
Practice Address - Street 1:148 N BELVEDERE DR
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-5418
Practice Address - Country:US
Practice Address - Phone:414-517-4292
Practice Address - Fax:615-355-0631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000001762111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty