NPIMap

Organization Active NPI

Stucky Chiropractic Proadjuster of Lake Hallie, SC

  • Chiropractor
  • Chippewa Falls, WI
National Provider Identifier
1043407901
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STUCKY CHIROPRACTIC PROADJUSTER OF LAKE HALLIE, SC
Practice address
3032 Commercial Blvd
Chippewa Falls, WI 54729
Phone
(715) 723-2892
NPI assigned
Sep 25, 2007
Organization subpart
Yes
Parent organization
STUCKY CHIROPRACTIC CENTER, SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Pamela Jo Stucky-Laguardia, D.C.NPI 1700877594
Title
Office Manager
Phone
(715) 835-9514

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

3032 Commercial Blvd
Chippewa Falls, WI 54729

Mailing address

3032 Commercial Blvd
Chippewa Falls, WI 54729
Phone (715) 723-2892

National Provider Directory

National Provider Directory
Part of
Stucky Chiropractic Center SC

Locations

3032 Commercial Blvd
Chippewa Falls, WI 54729
Phone (715) 723-2892

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1043407901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 COMMERCIAL BLVD",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "54729",
            "telephone_number": "715-723-2892",
            "fax_number": "715-723-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 COMMERCIAL BLVD",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "54729",
            "telephone_number": "715-723-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUCKY CHIROPRACTIC PROADJUSTER OF LAKE HALLIE, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STUCKY CHIROPRACTIC CENTER, SC",
        "enumeration_date": "2007-09-25",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "STUCKY-LAGUARDIA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-835-9514",
        "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 Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.