Provider Demographics
NPI:1861786485
Name:FINN CHIROPRACTIC CLINIC LLC
Entity type:Organization
Organization Name:FINN CHIROPRACTIC CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:FINN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-559-8102
Mailing Address - Street 1:17 E CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-2502
Mailing Address - Country:US
Mailing Address - Phone:715-559-8102
Mailing Address - Fax:
Practice Address - Street 1:17 E CENTRAL ST
Practice Address - Street 2:
Practice Address - City:CHIPPEWA FALLS
Practice Address - State:WI
Practice Address - Zip Code:54729-2502
Practice Address - Country:US
Practice Address - Phone:715-559-8102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-31
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4732261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center