Plover Chiropractic Center SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4181-12 Issued in WI

Legal business name

PLOVER CHIROPRACTIC CENTER SC

Practice address

1840 Post Rd Ste 6
Plover, WI 54467-2832

Phone

(715) 342-4027

NPI assigned

Jul 6, 2017

Last updated

Jul 21, 2022By 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. Eric Liazuk, DCNPI 1558309203

Title

Owner

Phone

(715) 342-4027

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

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.

• Eric James Liazuk, D.C.

  • Chiropractor
  • Plover, WI
  • NPI 1558309203
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093236408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 POST RD STE 6",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544672832",
            "telephone_number": "715-342-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 POST RD STE 6",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544672832",
            "telephone_number": "715-342-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLOVER CHIROPRACTIC CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LIAZUK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-342-4027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4181-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38965500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela M Okon, MS, LPC
• Oswald Counseling Associates, Inc.
• Jack William Pamperin
• Paige Parr
• Plover Chiropractic Center
• Plover Hometown Pharmacy LLC (Plover Hometown Pharmacy)
• Plover Psychological Clinic, LLC
• Leo Orval Powers, DC
• Jennifer Lee Pray, RN
• Mary Gabriel Priestley, APSW

• Chiropractor in Plover, WI
• Providers in Plover, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.