Emerson Chiropractic Wellness Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4242-012 Issued in WI

Legal business name

EMERSON CHIROPRACTIC WELLNESS CENTER LLC

Practice address

8499 State Highway 42
Fish Creek, WI 54212-9419

Phone

(920) 868-9280

NPI assigned

Jan 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Anne Emerson, D.C.NPI 1730376484

Title

Owner

Phone

(920) 868-9280

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

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

• Elizabeth Anne Emerson, D.C.

  • Chiropractor
  • Fish Creek, WI
  • NPI 1730376484
  Medicare reassignment Care Compare group NPD Authorized official
• Tucker Anthony Emerson, D.C.

  • Chiropractor
  • Green Bay, WI
  • NPI 1730369505
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1437489416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8499 STATE HIGHWAY 42",
            "city": "FISH CREEK",
            "state": "WI",
            "postal_code": "542129419",
            "telephone_number": "920-868-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8499 STATE HIGHWAY 42",
            "city": "FISH CREEK",
            "state": "WI",
            "postal_code": "542129419",
            "telephone_number": "920-868-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERSON CHIROPRACTIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-868-9280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "4242-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Allen, RN
• John Kennedy Bruns, D.C.
• Elizabeth Anne Emerson, D.C.
• Stormy Gale
• Gilbraltar Area School District
• Jane R Kocol, DC
• James M. Lewis, M.D.

• Clinic/Center in Fish Creek, WI
• Providers in Fish Creek, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.