Organization Active NPI

Benjamin W. Erlandson D.C., S.C.

  • Chiropractor
  • Onalaska, WI
National Provider Identifier
1033355201
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4459012 Issued in WI
Legal business name
BENJAMIN W. ERLANDSON D.C., S.C.
Practice address
1613 Main St Ste 4
Onalaska, WI 54650-2888
Phone
(608) 783-5768
Fax
(608) 783-1506
NPI assigned
Dec 18, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Benjamin W Erlandson, D.C.
Title
Ceo
Phone
(608) 783-5768

National Provider Directory

National Provider Directory

Locations

1613 Main St
Ste 4
Onalaska, WI 54650
Phone (608) 783-5768

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4459012 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

1613 Main St Ste 4
Onalaska, WI 54650-2888

Mailing address

1613 Main St Ste 4
Onalaska, WI 54650-2888
Phone (608) 783-5768

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2019.

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1033355201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 MAIN ST STE 4",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502888",
            "telephone_number": "608-783-5768",
            "fax_number": "608-783-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 MAIN ST STE 4",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502888",
            "telephone_number": "608-783-5768",
            "fax_number": "608-783-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN W. ERLANDSON D.C., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "ERLANDSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-783-5768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4459012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.