| Breath Of Life Chiropractic Wellness Center | |
|
1703 S Oneida St Suite C Appleton WI 54915-1524 | |
| (920) 419-1457 | |
| Not Available |
| Full Name | Breath Of Life Chiropractic Wellness Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1703 S Oneida St, Appleton, Wisconsin |
| Authorized Official Name and Position | Shae A Doran (OWNER) |
| Authorized Official Contact | 9204191457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breath Of Life Chiropractic Wellness Center 3701 S Johann Dr Appleton WI 54915-7066 Ph: () - | Breath Of Life Chiropractic Wellness Center 1703 S Oneida St Suite C Appleton WI 54915-1524 Ph: (920) 419-1457 |
| NPI Number | 1508159088 |
|---|---|
| Provider Enumeration Date | 05/17/2011 |
| Last Update Date | 05/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508159088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4205-12 (Wisconsin) | Primary |
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