Cynthia Gail Mickelson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1583-012 Issued in WI

Practice address

237 W Lincoln Ave
Fall Creek, WI 54742-0338

Phone

(715) 877-2880

Fax

(715) 877-3451

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fall Creek Chiropractic Inc.

  • Chiropractor
  • Fall Creek, WI
  • NPI 1104025261
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386704484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 W LINCOLN AVE",
            "address_2": "PO BOX 338",
            "city": "FALL CREEK",
            "state": "WI",
            "postal_code": "54742",
            "telephone_number": "715-877-2880",
            "fax_number": "715-877-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 W LINCOLN AVE",
            "city": "FALL CREEK",
            "state": "WI",
            "postal_code": "547420338",
            "telephone_number": "715-877-2880",
            "fax_number": "715-877-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKELSON",
        "first_name": "CYNTHIA",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1583-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fall Creek School District
• Lorri Lynn Hellegers, R.D.H.
• Peter Mandelert Ihle, M.D.
• Nicole McEvoy
• Beth McVey, D.C.
• Tony Lee Pilgrim, DDS
• Mary B Price, MS CCC
• Theodore Shawn Regalia, R.PH.
• Christine Rogers
• Kevin Wang

• Chiropractor in Fall Creek, WI
• Providers in Fall Creek, WI by specialty
• Chiropractor in Wisconsin

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