Emily Eve Debrabander, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6104-12 Issued in WI

Practice address

677 Baeten Rd Ste 2
Ashwaubenon, WI 54304-4868

Phone

(920) 737-0895

NPI assigned

Jul 10, 2023

Last updated

Nov 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Emily Eve Radka Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Chiropractic Family LLC

  • Chiropractor
  • Ashwaubenon, WI
  • NPI 1306524178
  NPD

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1417635277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 BAETEN RD STE 2",
            "city": "ASHWAUBENON",
            "state": "WI",
            "postal_code": "543044868",
            "telephone_number": "920-737-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 BAETEN RD STE 2",
            "city": "ASHWAUBENON",
            "state": "WI",
            "postal_code": "543044868",
            "telephone_number": "920-737-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBRABANDER",
        "first_name": "EMILY",
        "middle_name": "EVE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6104-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "RADKA",
            "middle_name": "EVE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary A Bostic
• Mary R Butler, NP
• Kelland Chen, PHARMD
• Chiropractic Family LLC
• Rachel Leeann Clark, PA-C
• William Durand, DPT
• Eyemart Express LLC
• Eyemart Express, LTD.
• Zubair Hassan, DDS
• Hy-Vee Inc (Hy-Vee Pharmacy (1025))

• Chiropractor in Ashwaubenon, WI
• Providers in Ashwaubenon, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.