Integrity Family Chiropractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4336-012 Issued in WI

Legal business name

INTEGRITY FAMILY CHIROPRACTIC CENTER, LLC

Practice address

1830 Webster St
Suite 130
Hudson, WI 54016-9320

Phone

(715) 381-9680

Fax

(715) 381-9685

NPI assigned

Aug 16, 2007

Last updated

Aug 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Laura Anne Verga, DCNPI 1457383598

Title

Owner

Phone

(715) 381-9680

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Anne Verga, DC

  • Chiropractor
  • Hudson, WI
  • NPI 1457383598
  Authorized official Same address or phone

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1255523817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 WEBSTER ST",
            "address_2": "SUITE 130",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169320",
            "telephone_number": "715-381-9680",
            "fax_number": "715-381-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 WEBSTER ST",
            "address_2": "SUITE 130",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169320",
            "telephone_number": "715-381-9680",
            "fax_number": "715-381-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY FAMILY CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "VERGA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-381-9680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4336-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Integra Counseling Services, Inc.
• Ippm LLC
• Its of Wi
• Mary Ellen Jacks, M.S.
• Kirk L Jacobson, MD
• James Broecker PA

• Chiropractor in Hudson, WI
• Providers in Hudson, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.