Lakeshore Chiropractic, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3351-012 Issued in WI

Legal business name

LAKESHORE CHIROPRACTIC, S.C.

Practice address

3009 Forest Ave
Two Rivers, WI 54241-1926

Phone

(920) 793-4498

Fax

(920) 553-4499

NPI assigned

May 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher John Simons, D.C.NPI 1811078413

Title

President

Phone

(920) 793-4498

Specialties & licenses 1

Addresses

Other names 1

• Lakeshore Chiropractic, S.C. Other name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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.

• Christopher John Simons, CHRISTOPHER SIMONS

  • Chiropractor
  • Two Rivers, WI
  • NPI 1811078413
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437371200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 FOREST AVE",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542411926",
            "telephone_number": "920-793-4498",
            "fax_number": "920-553-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 FOREST AVE",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542411926",
            "telephone_number": "920-793-4498",
            "fax_number": "920-553-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-793-4498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3351-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Chiropractic, S.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Kuehl, DPT
• Lisa A Kumbalek, NP
• Lakeshore Apothacare Inc (Medicine Shoppe)
• Lakeshore Apothacare Inc (The Medicine Shoppe 1564 - LTC)
• Lakeshore Apothacare Inc. (Medicine Shoppe)
• Lakeshore Respiratory Therapy Care Services, Inc
• Brian P Laliberte, MD
• N John Laliberte, LPC, CSAC
• Skyler Laliberte
• Hye Chong L Lambert, MD

• Chiropractor in Two Rivers, WI
• Providers in Two Rivers, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.