Active NPI
Synergy Chiropractic, LLC
- Chiropractor
- Greenville, WI
National Provider Identifier
1386978419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 452612
- Legal business name
- SYNERGY CHIROPRACTIC, LLC
- Practice address
- N1739 Lily of the Valley Dr
Suite 7
Greenville, WI 54942-9105 - Phone
- (920) 268-7352
- Fax
- (920) 757-6446
- NPI assigned
- Sep 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jessica Lea Will, D.C.
- Title
- Owner
- Phone
- (920) 268-7352
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 452612 | WI | Primary |
Addresses
Primary practice location
N1739 Lily of the Valley Dr
Suite 7
Greenville, WI 54942-9105
Mailing address
N1739 Lily of the Valley Dr
Suite 7
Greenville, WI 54942-9105
Phone (920) 268-7352
National Provider Directory
National Provider DirectoryLocations
N1739 Lily of the Valley Dr
#D
Greenville, WI 54942
Phone (920) 757-6440
N1739 Lily of the Valley Dr
Greenville, WI 54942
Phone (920) 268-7352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253577600000",
"number": "1386978419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N1739 LILY OF THE VALLEY DR",
"address_2": "SUITE 7",
"city": "GREENVILLE",
"state": "WI",
"postal_code": "549429105",
"telephone_number": "920-268-7352",
"fax_number": "920-757-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N1739 LILY OF THE VALLEY DR",
"address_2": "SUITE 7",
"city": "GREENVILLE",
"state": "WI",
"postal_code": "549429105",
"telephone_number": "920-268-7352",
"fax_number": "920-757-6446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-22",
"last_updated": "2009-09-22",
"status": "A",
"authorized_official_last_name": "WILL",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "LEA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-268-7352",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "452612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.