Provider Demographics
NPI:1962995498
Name:SOLUTIONS CHIROPRACTIC CLINIC, LLC
Entity type:Organization
Organization Name:SOLUTIONS CHIROPRACTIC CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DC
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ISZLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-593-6697
Mailing Address - Street 1:405 E OMAHA ST STE D
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-2974
Mailing Address - Country:US
Mailing Address - Phone:605-348-2116
Mailing Address - Fax:605-348-2613
Practice Address - Street 1:405 E OMAHA ST STE D
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701
Practice Address - Country:US
Practice Address - Phone:605-348-2116
Practice Address - Fax:605-348-2613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-09
Last Update Date:2018-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1136111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1881847341OtherCHIROPRACTOR
SD1063638856OtherPHYSICAL THERAPIST