J-1 Enterprises LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

J-1 ENTERPRISES LLC

Doing business as

HealthSource of Marshfield

Practice address

106 S Chestnut Ave
Marshfield, WI 54449-2741

Phone

(715) 384-9064

Fax

(715) 387-6954

NPI assigned

Jun 13, 2008

Organization subpart

Yes

Parent organization

J-1ENTERPRISES LLCAs reported in NPPES

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

Authorized official

Name

Dr. Margaret Mertens, DCNPI 1225253628

Title

Member

Phone

(715) 384-9064

Specialties & licenses 1

Addresses

Other names 1

• HealthSource of Marshfield Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Part of

J-1 Enterprises LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margaret Mary Mertens, D.C.

  • Rehabilitation Chiropractor
  • Marshfield, WI
  • NPI 1225253628
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1427218379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S CHESTNUT AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544492741",
            "telephone_number": "715-384-9064",
            "fax_number": "715-387-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S CHESTNUT AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544492741",
            "telephone_number": "715-384-9064",
            "fax_number": "715-387-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J-1 ENTERPRISES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J-1ENTERPRISES LLC",
        "enumeration_date": "2008-06-13",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "MERTENS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "715-384-9064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of Marshfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Suzanne Spies Ingersoll, CRNA
• Kristen C Iniguez, DO
• Warda Iqbal, MD
• Khurram Irshad, M.D
• Mostafa Ismail, RPH
• Celeste M Jackson, NP
• Miranda S Jackson, CRNA
• Mitchell Forrest Jaeger, PA-C
• Edward John Jahnke, SAC
• Nirpeksh Jain, MD

• Health Service Clinic/Center in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Health Service Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.