Organization Active NPI

Packerland Chiropractic of Door County Inc

  • Chiropractor
  • Sturgeon Bay, WI
National Provider Identifier
1013117811
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on May 19, 2010

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.NPI 1326135708
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.