Mukwonago Chiropractic Centre, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2510-012 Issued in WI

Legal business name

MUKWONAGO CHIROPRACTIC CENTRE, S.C.

Practice address

575 Bay View Rd
Suite 103
Mukwonago, WI 53149-1749

Phone

(262) 363-3909

Fax

(262) 363-3801

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Paul M Pacetti, D.C.

Title

President

Phone

(262) 363-3909

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly J Anello, DC

  • Chiropractor
  • Waukesha, WI
  • NPI 1104844430
  NPD (past)
• David Wolf, D.C.

  • Chiropractor
  • Mukwonago, WI
  • NPI 1871679126
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1346448552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531490037",
            "telephone_number": "262-363-3909",
            "fax_number": "262-363-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 BAY VIEW RD",
            "address_2": "SUITE 103",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491749",
            "telephone_number": "262-363-3909",
            "fax_number": "262-363-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKWONAGO CHIROPRACTIC CENTRE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "PACETTI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-363-3909",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2510-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Mischo, MSW, LCSW
• Moodology Psych Hub, LLC
• Melanie Anne Morgan, LPC
• Jacey J Mroczenski, DPT
• Sandra Lynn Muetzel, L.C.S.W.
• Mukwonago Ramily Rehabilitation Clinic, LLC
• Mukwonago School District
• Nicole Marie Munson, OTR
• Olivia Camille Neau
• Tori E Neil

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.