Provider Demographics
NPI:1154648194
Name:RECHCYGL FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:RECHCYGL FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:RECHCYGL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:262-617-9978
Mailing Address - Street 1:5305 S 108TH ST
Mailing Address - Street 2:
Mailing Address - City:HALES CORNERS
Mailing Address - State:WI
Mailing Address - Zip Code:53130-1332
Mailing Address - Country:US
Mailing Address - Phone:262-617-9978
Mailing Address - Fax:
Practice Address - Street 1:5305 S 108TH ST
Practice Address - Street 2:
Practice Address - City:HALES CORNERS
Practice Address - State:WI
Practice Address - Zip Code:53130-1332
Practice Address - Country:US
Practice Address - Phone:262-617-9978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4547-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty