Coulee Chiropractic Clinic, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COULEE CHIROPRACTIC CLINIC, S.C.

Practice address

600 3Rd St N
Suite 201
La Crosse, WI 54601-6299

Phone

(608) 782-6604

Fax

(608) 782-6335

NPI assigned

Dec 6, 2006

Last updated

Sep 29, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth H Woodruff, D.C.

Title

President

Phone

(608) 782-6604

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randy John Joten, D.C

  • Chiropractor
  • Superior, WI
  • NPI 1790199503
  NPD (past)
• Allen E Macha, DC

  • Chiropractor
  • La Crosse, WI
  • NPI 1063581312
  NPD (past)
• Michael L Polito, DC

  • Chiropractor
  • La Crosse, WI
  • NPI 1184793432
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1003975038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 3RD ST N",
            "address_2": "SUITE 201",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016299",
            "telephone_number": "608-782-6604",
            "fax_number": "608-782-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 3RD ST N",
            "address_2": "SUITE 201",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016299",
            "telephone_number": "608-782-6604",
            "fax_number": "608-782-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COULEE CHIROPRACTIC CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-782-6604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis T Costakos, MD
• Leah Costello, DPT
• Marguerite F Costigan, PT
• Casey M Coughlin, MSW, APSW
• Coulee Children's Center, Inc
• Coulee Connections, LLC
• Coulee Council on Addictions
• Coulee Family Dental LLC
• Coulee Region Counseling & Consulting
• Coulee Region Psychiatric Services, S.C.

• Chiropractor in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.