Active NPI
Packerland Chiropractic of Door County Inc
- Chiropractor
- Sturgeon Bay, WI
National Provider Identifier
1013117811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PACKERLAND CHIROPRACTIC OF DOOR COUNTY INC
- Practice address
- 430 Jefferson St
Sturgeon Bay, WI 54235-2112 - Phone
- (920) 746-8252
- Fax
- (920) 746-8252
- NPI assigned
- Jul 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Andrew Nelson, D.C.
- Title
- Owner
- Phone
- (920) 746-8252
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
430 Jefferson St
Sturgeon Bay, WI 54235-2112
Mailing address
2615 Packerland Dr
Ste G
Green Bay, WI 54313-5780
Phone (920) 496-8808
National Provider Directory
National Provider DirectoryLocations
430 Jefferson St
Sturgeon Bay, WI 54235
Phone (920) 746-8252
626 Jefferson St
Sturgeon Bay, WI 54235
Phone (920) 746-1235
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Green Bay, WI
- NPI 1326135708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274227200000",
"number": "1013117811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 PACKERLAND DR",
"address_2": "STE G",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543135780",
"telephone_number": "920-496-8808",
"fax_number": "920-496-8808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 JEFFERSON ST",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542352112",
"telephone_number": "920-746-8252",
"fax_number": "920-746-8252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACKERLAND CHIROPRACTIC OF DOOR COUNTY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-19",
"last_updated": "2010-05-19",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-746-8252",
"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": []
}
Other providers in Sturgeon Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.