Bayside Chiropractic LLC

Chiropractor · De Pere, WI

Organization Active NPI

NPI number 1659709376

Practice location

1700 Sand Acres Dr Ste 2a
De Pere, WI 54115-7562
Phone
(920) 591-0141

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NPI record

NPI
1659709376
Entity type
Organization (Type 2)
Enumeration date
October 15, 2013
Last updated
May 28, 2020
Certified
May 28, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 4214-012 WI

Authorized official

Name
Connon Lee Piencikowski
Title
Chiropractor
Phone
(920) 591-0141

About Bayside Chiropractic LLC

Bayside Chiropractic LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1700 Sand Acres Dr Ste 2a, De Pere, WI 54115-7562. The NPI number 1659709376 was assigned on October 15, 2013 and the record was last updated on May 28, 2020.

Bayside Chiropractic LLC lists a license in the registry: #4214-012 (WI) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Connon Lee Piencikowski, Chiropractor.

Frequently asked questions

What is the NPI number of Bayside Chiropractic LLC?

The NPI number is 1659709376.

What is the phone number of Bayside Chiropractic LLC?

The phone number listed for the practice location is (920) 591-0141.

Where is Bayside Chiropractic LLC located?

1700 Sand Acres Dr Ste 2a, De Pere, WI 54115-7562.

What is the taxonomy code for Bayside Chiropractic LLC?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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