Gilge Chiropractic LLC
Organization Active NPI Chiropractor · Wausau, WI
NPI 1336740844 · NPPES record last updated Nov 3, 2020
Key facts
- NPI
- 1336740844
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- GILGE CHIROPRACTIC LLC
- Practice address
- 151515 Robin LN
Wausau, WI 54401-6645 - Phone
- (715) 370-9395
- NPI assigned
- Nov 3, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Christopher Lee Gilge, DC
- Title
- Owner
- Phone
- (715) 370-9395
Practitioners 3
-
Christopher L Gilge, D.C.
-
Barbara C Bradley, D.C., P.T.
-
Zara Little Wing Lackman, D.C., D.I.C.C.P.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201209001037 | WI | Part B Supplier - Clinic/Group Practice | 4981016318 |
Receives reassigned benefits from 1 practitioner Practice locations: Wausau, WI |
National Provider Directory
Locations
151515 Robin Ln
Rib Mountain, WI 54401
Phone (715) 370-9395
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
151515 Robin LN
Wausau, WI 54401-6645
Mailing address
151515 Robin LN
Wausau, WI 54401-6645
Phone (715) 370-9395
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2020. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.