Provider Demographics
NPI:1780429316
Name:STOUGHTON FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:STOUGHTON FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:THELMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTCHINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-501-9616
Mailing Address - Street 1:101 KINGS LYNN RD
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:WI
Mailing Address - Zip Code:53589-1999
Mailing Address - Country:US
Mailing Address - Phone:608-501-9616
Mailing Address - Fax:
Practice Address - Street 1:101 KINGS LYNN RD
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:WI
Practice Address - Zip Code:53589-1999
Practice Address - Country:US
Practice Address - Phone:608-501-9616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty