Brooke Amber Huettner
Chiropractor
415 W Wisconsin St Suite 4
Sparta
, Wisconsin 54656-2492
Brooke Amber Huettner
Chiropractor
415 W Wisconsin St Suite 4
Sparta
, Wisconsin 54656-2492
(608) 269-8511
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Brooke Amber Huettner
- 415 W Wisconsin St Ste 4
- Sparta, WI
- Zip : 54656-2492
- Fax : (608) 269-8511
- Phone : (608) 269-4511
Second Address
- Brooke Amber Huettner
- 415 W Wisconsin St Suite 4
- Sparta, WI
- Zip : 54656-2492
- Fax : (608) 269-8511
- Phone : (608) 269-4511
Reviews
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Is Brooke Amber Huettner a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4156-012 | WI |
National Provider Identifier
| NPI | 1003852724 |
|---|---|
| Provider Name | Brooke Amber Huettner |
| First Address | Sparta, WI 54656-2492 |
| Second Address | Sparta, WI 54656-2492 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2006 |
| Last Update Date | 19/05/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 38964000 | (05) | WI |
| 38984600 | MEDICAID GROUP (01) | WI |
| 391794159330 | ANTHEMBCBS (01) | |
| V07792 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.