Metro Chiropractic Clinic, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3192 Issued in WI

Legal business name

METRO CHIROPRACTIC CLINIC, S.C.

Practice address

309 4TH St
Mosinee, WI 54455-1109

Phone

(715) 693-8111

Fax

(715) 692-2529

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary Jane-Shnowske Metropulos, D.C.NPI 1881643120

Title

President

Phone

(715) 693-8111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Metro Chiropractic Clinic, S.C.

  • Chiropractor
  • Medford, WI
  • NPI 1164545943

  O20060427000785

  Same enrollment

Tax ID family

Medford Chiropractic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Metro Chiropractic Clinic, S.C.

  • Chiropractor
  • Medford, WI
  • NPI 1164545943
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Jane-Shnowske Metropulos, D.C.

  • Chiropractor
  • Mosinee, WI
  • NPI 1881643120
  NPD Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240617600000",
    "number": "1215058748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 113",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544550113",
            "telephone_number": "715-693-8111",
            "fax_number": "715-692-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 4TH ST",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544551109",
            "telephone_number": "715-693-8111",
            "fax_number": "715-692-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO CHIROPRACTIC CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2009-04-25",
        "status": "A",
        "authorized_official_last_name": "METROPULOS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE-SHNOWSKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-693-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshfield Clinic
• Marshfield Clinic Inc
• Marshfield Clinic, Inc.
• MCHS Hospitals Inc
• Karen L McKenna, RN
• Mary Jane-Shnowske Metropulos, D.C.
• Diana R Michlig, RN
• James J Michna, D.D.S.
• Midline Vision Group LLC
• Ryan L Miller, DC

• All providers in Mosinee, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2009; 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.