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DR. ERIC RICHARD CLAUSEN DC
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1215037692
Individual Registrant:DR. ERIC RICHARD CLAUSEN DC
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
223 NORTH PINE ST PO BOX 187 HORTONVILLE, WI 54944 US
Tel: 920-779-3300 Fax: 920-779-3301
Tel: 920-779-3300 Fax: 920-779-3301
Contact information for business:
223 N. PINE ST PO BOX 187 HORTONVILLE, WI 54944-9140 US
Tel: 920-779-3300 Fax: 920-779-3301
Tel: 920-779-3300 Fax: 920-779-3301
Registration Information:
NPI: 1215037692
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 111N00000X | Chiropractic Providers Chiropractor | WI | 3935-12 |
| Y | 111N00000X | Chiropractic Providers Chiropractor | WI | 3935 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 38964700 | WI | 05 |
