East Side Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1294-012 Issued in WI

Legal business name

EAST SIDE CHIROPRACTIC

Practice address

2430 E Washington Ave
Madison, WI 53704-5241

Phone

(608) 244-1740

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hans Fritz Jerosch, D.C.

Title

Chiropractor & President of Corp.

Phone

(608) 244-1740

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1396947966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 E WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045241",
            "telephone_number": "608-244-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 E WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045241",
            "telephone_number": "608-244-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "JEROSCH",
        "authorized_official_first_name": "HANS",
        "authorized_official_middle_name": "FRITZ",
        "authorized_official_title_or_position": "CHIROPRACTOR & PRESIDENT OF CORP.",
        "authorized_official_telephone_number": "608-244-1740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1294-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38826500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.