Provider Demographics
NPI:1174534481
Name:MONROE CHIROPRACTIC ASSOCIATES, S.C.
Entity type:Organization
Organization Name:MONROE CHIROPRACTIC ASSOCIATES, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:E
Authorized Official - Last Name:BUCHANAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-328-8304
Mailing Address - Street 1:714 4TH AVE W
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WI
Mailing Address - Zip Code:53566-1039
Mailing Address - Country:US
Mailing Address - Phone:608-328-8304
Mailing Address - Fax:608-328-1870
Practice Address - Street 1:714 4TH AVE W
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WI
Practice Address - Zip Code:53566-1039
Practice Address - Country:US
Practice Address - Phone:608-328-8304
Practice Address - Fax:608-328-1870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty