Sandquist Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2345-012 Issued in WI

Legal business name

SANDQUIST CHIROPRACTIC, INC

Doing business as

Sandquist Chiropractic

Practice address

1202 Grand Ave
Wausau, WI 54403-6690

Phone

(715) 842-7711

NPI assigned

Sep 24, 2015

Organization subpart

No

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

Authorized official

Name

Corey Sandquist, DCNPI 1730285701

Title

Owner

Phone

(715) 842-7711

Specialties & licenses 1

Addresses

Other names 1

• Sandquist Chiropractic Doing business as

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.

• Corey M Sandquist, DC

  • Chiropractor
  • Wausau, WI
  • NPI 1730285701
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1437528098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 GRAND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036690",
            "telephone_number": "715-842-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 GRAND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036690",
            "telephone_number": "715-842-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDQUIST CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "SANDQUIST",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-842-7711",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2345-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandquist Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Corey M Sandquist, DC
• Susan M Sandquist, DC
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• Sophia Helena Santamaria, L.AC
• Jeffrey M Sarazen, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.