Gile Chiropractic and Wellness Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3712-012 Issued in WI

Legal business name

GILE CHIROPRACTIC AND WELLNESS CLINIC

Practice address

3715 N Percival St
Hazel Green, WI 53811-9516

Phone

(608) 854-2884

Fax

(608) 854-2886

NPI assigned

May 14, 2007

Last updated

Dec 27, 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. Michael John Gile Jr., D.C.NPI 1770641052

Title

Member

Phone

(608) 854-2884

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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.

• Michael John Gile Jr., D.C.

  • Chiropractor
  • Hazel Green, WI
  • NPI 1770641052
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1306051016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 N PERCIVAL ST",
            "city": "HAZEL GREEN",
            "state": "WI",
            "postal_code": "538119516",
            "telephone_number": "608-854-2884",
            "fax_number": "608-854-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 N PERCIVAL ST",
            "city": "HAZEL GREEN",
            "state": "WI",
            "postal_code": "538119516",
            "telephone_number": "608-854-2884",
            "fax_number": "608-854-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILE CHIROPRACTIC AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "GILE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "608-854-2884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3712-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38929700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Kay Bell
• Elizabeth A Bradt, PT
• Rebecca Jean Fleege
• Michael John Gile Jr., D.C.
• Home Care for You Inc.
• Katelyn Long
• Ann Marie Miesen, BSN, RN
• Courtney Runde, LISW

• Chiropractor in Hazel Green, WI
• Providers in Hazel Green, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.