Corbett Chiropractic Care, SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3673012 Issued in WI

Legal business name

CORBETT CHIROPRACTIC CARE, SC

Practice address

520 S Main St
Fond Du Lac, WI 54935-5726

Phone

(920) 922-4980

Fax

(920) 907-4329

NPI assigned

Apr 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Deborah L. C. Corbett, D.C.NPI 1760432140

Title

Owner/President

Phone

(920) 922-4980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

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

• Deborah Leah Chagnon Corbett, D.C.

  • Chiropractor
  • Fond Du Lac, WI
  • NPI 1760432140
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1407090715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S MAIN ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355726",
            "telephone_number": "920-922-4980",
            "fax_number": "920-907-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S MAIN ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355726",
            "telephone_number": "920-922-4980",
            "fax_number": "920-907-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORBETT CHIROPRACTIC CARE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L. C.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "920-922-4980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3673012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consultants Laboratory of Wisconsin, LLC
• Consultants Laboratory of Wisconsin, LLC
• Consultants Laboratory of Wisconsin, LLC
• Thomas Miles Cook, LCSW
• Calelle Cooper, PHARMD
• Deborah Leah Chagnon Corbett, D.C.
• Vicki D Corcoran, PTA
• Cornerstone Caregiving East LLC
• Elizabeth M Cotter, RN
• Lisa Marie Coulter, MS-CCC-SLP

• Chiropractor in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.