Active NPI
Nelson Chiropractic Wellness Center Inc.
- Chiropractor
- Kenosha, WI
National Provider Identifier
1194136747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 501712
- Legal business name
- NELSON CHIROPRACTIC WELLNESS CENTER INC.
- Practice address
- 6500 67TH St
Kenosha, WI 53142-1403 - Phone
- (815) 322-6046
- NPI assigned
- May 16, 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. Pascale Nelson, D.C.
- Title
- Owner
- Phone
- (815) 322-6046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 501712 | WI | Primary |
Addresses
Primary practice location
6500 67TH St
Kenosha, WI 53142-1403
Mailing address
525 Autumn Blvd Apt 303
Lakemoor, IL 60051-6690
Phone (815) 322-6046
National Provider Directory
National Provider DirectoryLocations
6500 67th St
Kenosha, WI 53142
Phone (262) 654-3141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400198400000",
"number": "1194136747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 AUTUMN BLVD APT 303",
"city": "LAKEMOOR",
"state": "IL",
"postal_code": "600516690",
"telephone_number": "815-322-6046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 67TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531421403",
"telephone_number": "815-322-6046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NELSON CHIROPRACTIC WELLNESS CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-16",
"last_updated": "2014-05-16",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "PASCALE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "815-322-6046",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "501712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.