Crotteau Chiropractic, L.L.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3891-012 Issued in WI

Legal business name

CROTTEAU CHIROPRACTIC, L.L.C

Practice address

12 W Marshall St
Suite #110
Rice Lake, WI 54868-2741

Phone

(715) 234-3808

Fax

(715) 234-3809

NPI assigned

Dec 5, 2006

Last updated

Aug 22, 2020By 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

Steven Donald Crotteau, D.C.NPI 1194891630

Title

Owner

Phone

(715) 234-3808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

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.

• Steven Donald Crotteau, D.C.

  • Chiropractor
  • Rice Lake, WI
  • NPI 1194891630
  Medicare reassignment Care Compare group NPD Authorized official
• Alexandria Rowe, DC

  • Chiropractor
  • Rice Lake, WI
  • NPI 1558177964
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366500654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W MARSHALL ST",
            "address_2": "SUITE #110",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548682741",
            "telephone_number": "715-234-3808",
            "fax_number": "715-234-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W MARSHALL ST",
            "address_2": "SUITE #110",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548682741",
            "telephone_number": "715-234-3808",
            "fax_number": "715-234-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROTTEAU CHIROPRACTIC, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROTTEAU",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-234-3808",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3891-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L Crabtree, MS CCC SLP
• John A Cragg, MD
• Joseph Crahan
• Leland D Crandall, MD
• Charles E. Crisler, D.D.S.
• Carter Crotteau
• Darcey Crotteau, LMT
• Steven Donald Crotteau, D.C.
• Donald J. Cuskey Jr., D.D.S.
• Donald J. Cuskey Sr., D.D.S.

• Chiropractor in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.