BAY AREA CHIROPRACTIC SC
NPI 1104804012
Chiropractor, Neurology in Green Bay,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 3, 2006

Contact Information

1441 Bellevue St
Green Bay,
Post Code: 54311
Phone: (920) 468-1963
Fax: (920) 468-9785

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Bay Area Chiropractic Sc in Green Bay - Chiropractor, Neurology

Bay Area Chiropractic Sc is a Chiropractor, Neurology in Green Bay, . Bay Area Chiropractic Sc practices all healthcare services and medical treatments related to Chiropractor, Neurology. The NPI Number for Bay Area Chiropractic Sc is 1104804012. The last update date is 2010-02-19.

Bay Area Chiropractic Sc's current location address is 1441 Bellevue St, Green Bay, . You can contact this provider via phone number (920) 468-1963 and fax number (920) 468-9785. The mailing address for Bay Area Chiropractic Sc is 1441 Bellevue St, Green Bay, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1104804012
Provider Legal Name
BAY AREA CHIROPRACTIC SC
Other Organization Name
BAY AREA CHIROPRACTIC SC
Other Name Type
-
Entity Type
Organization
Location Address
1441 Bellevue St, Green Bay,
Location Phone
(920) 468-1963
Location Fax
(920) 468-9785
Mailing Address
1441 Bellevue St, Green Bay, Wisconsin(WI)
Mailing Phone
920-468-1963
Mailing Fax
920-468-9785
Enumeration Date
2006-01-03
Last Update Date
2010-02-19
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor

Taxonomy Code
111N00000X
Type
-
License No.
4055012
License State
Wisconsin (WI)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 111NN0400X Neurology Chiropractor

Chiropractor, Neurology

1783012 (Wisconsin)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
39001100 MEDICAID (05) Wisconsin (WI)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104804012
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104160802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2104160802
2 + 1 + 0 + 4 + 1 + 6 + 0 + 8 + 0 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2 2

The NPI number 1104804012 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053314070 GEORGE ANDREW BOUSH
Individual
Ophthalmology 123 HOSPITAL DR
WATERTOWN, Wisconsin (WI)
920-261-8225
1053314252 HOSPICE ALLIANCE, INC.
ALLIANCE HOMECARE
Organization
Home Health 10220 PRAIRIE RIDGE BLVD
PLEASANT PRAIRIE, Wisconsin (WI)
262-652-4400
1023011939 PESHTIGO HEALTH CARE, LLC
WHISPERING OAKS CARE CENTER
Organization
Skilled Nursing Facility 620 HARPER AVE
PESHTIGO, Wisconsin (WI)
715-582-4148
1043213895 BRIAN R MANSKE
Individual
Radiology, Diagnostic Radiology 1836 SOUTH AVE
LA CROSSE, Wisconsin (WI)
608-782-7300
1013910785 WILLIAM J DIERBERG
Individual
Plastic Surgery 2605 DEVELOPMENT DR
GREEN BAY, Wisconsin (WI)
920-288-8240