National Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3364 Issued in WI

Legal business name

NATIONAL CHIROPRACTIC, LLC

Practice address

5800 W National Ave
West Allis, WI 53214-3446

Phone

(414) 431-0936

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Brian Formolo, DCNPI 1760427207

Title

Owner

Phone

(414) 431-0936

Specialties & licenses 1

Addresses

Tax ID family

At-Home Auto Accident Treatment LLC2 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.

• At-Home Auto Accident Treatment, LLC

  • Chiropractor
  • West Allis, WI
  • NPI 1053756700
  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.

• Brian E Formolo, D.C.

  • Chiropractor
  • Oak Creek, WI
  • NPI 1760427207
  NPD (past) Authorized official

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1235398272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 W NATIONAL AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143446",
            "telephone_number": "414-431-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 W NATIONAL AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143446",
            "telephone_number": "414-431-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "FORMOLO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-431-0936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valentine Nadtochyy, NP
• John D Naida, MD
• Najjar Orthodontics, SC
• Shannon Marie Narlock
• Lisa Beth Nass, MD
• National Vision Inc
• Neb Medical Services, Inc
• Carin Neloms
• Bradford C. Nelson, D.C.
• Elizabeth Diane Nelson, LPN

• Chiropractor in West Allis, WI
• Providers in West Allis, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.