Cronk Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5003-12 Issued in WI

Legal business name

CRONK CHIROPRACTIC

Doing business as

Meverden Sports & Family Chiropractic

Practice address

2600 Stewart Ave
#154
Wausau, WI 54401-4148

Phone

(715) 848-4088

NPI assigned

Jul 16, 2014

Last updated

Oct 8, 2014By 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. Justin W Cronk, D.C.NPI 1487061719

Title

Owner/Chiropractor

Phone

(715) 848-4088

Specialties & licenses 1

Addresses

Other names 1

• Meverden Sports & Family Chiropractic Doing business as

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.

• Justin W Cronk, D.C.

  • Chiropractor
  • Wausau, WI
  • NPI 1487061719
  NPD (past) Authorized official

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1255748703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 STEWART AVE",
            "address_2": "#154",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014148",
            "telephone_number": "715-848-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 STEWART AVE",
            "address_2": "#154",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014148",
            "telephone_number": "715-848-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRONK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "CRONK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "715-848-4088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5003-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meverden Sports & Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosanne Regina Cozzuol, LPN
• Cpi Wausau LLC (Badger Family Pharmacy Wausau)
• Rhonda Cram, CADC III
• Russell W. Creel, NP
• Jeffrey Crispell, M.D.
• Justin W Cronk, D.C.
• Julie M Cummins
• Natalie Rose Cunningham, APSW
• Joan Curran
• James M Cygan, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.