Active NPI
Wellness Chiropractic of la Crosse LLC
- Chiropractor
- Dubuque, IA
National Provider Identifier
1174796346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3628012
- Legal business name
- WELLNESS CHIROPRACTIC OF LA CROSSE LLC
- Practice address
- 2728 Asbury Rd
Ste. 500
Dubuque, IA 52001-2971 - Phone
- (563) 556-0017
- NPI assigned
- Apr 9, 2008
- Last updated
- Dec 12, 2014
- 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. Lisa Hawklove Intriligator, DC
- Title
- Owner Chiropractor
- Phone
- (563) 556-0017
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3628012 | WI | Primary |
Addresses
Primary practice location
2728 Asbury Rd
Ste. 500
Dubuque, IA 52001-2971
Mailing address
2728 Asbury Rd
Ste. 500
Dubuque, IA 52001-2971
Phone (563) 556-0017
Other names 1
- Intriligator Biophysics for Health
National Provider Directory
National Provider DirectoryLocations
2728 Asbury Rd
Ste 500
Dubuque, IA 52001
Phone (563) 556-0017
1521 Losey Blvd S
La Crosse, WI 54601
Phone (608) 788-9355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418342400000",
"number": "1174796346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2728 ASBURY RD",
"address_2": "STE. 500",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520012971",
"telephone_number": "563-556-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2728 ASBURY RD",
"address_2": "STE. 500",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520012971",
"telephone_number": "563-556-0017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS CHIROPRACTIC OF LA CROSSE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-09",
"last_updated": "2014-12-12",
"status": "A",
"authorized_official_last_name": "INTRILIGATOR",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "HAWKLOVE",
"authorized_official_title_or_position": "OWNER CHIROPRACTOR",
"authorized_official_telephone_number": "563-556-0017",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "3628012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Intriligator Biophysics for Health",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.