Provider Demographics
NPI:1194985416
Name:INSIGHT HEALTH ASSOCIATES S.C.
Entity type:Organization
Organization Name:INSIGHT HEALTH ASSOCIATES S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/BOOKKEEPER
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-982-6442
Mailing Address - Street 1:202 W NORTH WATER ST
Mailing Address - Street 2:P.O. BOX 138
Mailing Address - City:NEW LONDON
Mailing Address - State:WI
Mailing Address - Zip Code:54961-1210
Mailing Address - Country:US
Mailing Address - Phone:920-982-6442
Mailing Address - Fax:920-982-6461
Practice Address - Street 1:202 W NORTH WATER ST
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:WI
Practice Address - Zip Code:54961-1210
Practice Address - Country:US
Practice Address - Phone:920-982-6442
Practice Address - Fax:920-982-6461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3760-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty