Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK ANTHONY MANZELLA, D.C.
Active Sole ProprietorDR. JACK ANTHONY MANZELLA, D.C. is a Chiropractor healthcare provider located in BANGOR, Wisconsin. NPI 1174652291 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · BANGOR, WI
Registration Details
- NPI Number
- 1174652291
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2007 (19.477793986581 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2555-012 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1505 COMMERCIAL ST.BANGOR FAMILY CHIROPRACTICBANGOR, WI, 54614Browse WI providers · Browse ZIP 54614
- Phone
- 6084864899
- Fax
- 6084864661
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in BANGOR, WI
| Name | Credential | NPI |
|---|---|---|
| ALEXANDER MANZELLA | D.C. | 1982009239 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.