Organization Active NPI

Wellness Chiropractic of la Crosse LLC

  • Chiropractor
  • Dubuque, IA
National Provider Identifier
1174796346
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3628012 Issued in WI
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.