Chad Wayne Schultz, DC
Individual provider Active NPI Chiropractor · Lacrosse, WI
NPI 1215970520 · NPPES record last updated May 31, 2016
Key facts
- NPI
- 1215970520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3426 (WI)
- Practice address
- 2837 Darling Court
Lacrosse, WI 54650 - Phone
- (608) 783-3040
- Fax
- (844) 248-2389
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Three Rivers Chiropractic LLC
Practice addresses (Care Compare)
2946 Darling CT
La Crosse, WI 54601-2701
Phone (608) 783-3040
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050331001244 | WI | Practitioner - Chiropractic | 0648227785 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3428012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Rivers Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
| Draeger Chiropractic Clinic, S.C. | Chiropractor | Past |
Accepting new patients |
Locations
2837 Darling Ct
La Crosse, WI 54601
Phone (608) 783-3040
2946 Darling Ct
La Crosse, WI 54601
Phone (608) 783-3040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3426 | WI | Yes |
Addresses
Primary practice location
2837 Darling Court
Lacrosse, WI 54650
Mailing address
2837 Darling Court
Lacrosse, WI 54650
Phone (608) 783-3040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38932600 | Medicaid | WI | |
| P00044509 | Other | WI | RAILROAD MEDICARE PIN |
Other providers in Lacrosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.