Packerland Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3486 Issued in WI

Legal business name

PACKERLAND CHIROPRACTIC INC

Practice address

2615 Packerland Dr
Suite G
Green Bay, WI 54313-5780

Phone

(920) 496-8808

Fax

(920) 496-8808

NPI assigned

Jul 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Andrew Nelson, D.CNPI 1326135708

Title

Owner

Phone

(920) 496-8808

Specialties & licenses 1

Addresses

Other names 1

• Packerland Chiropratic Inc 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.

• Joseph A Nelson, D.C.

  • Chiropractor
  • Green Bay, WI
  • NPI 1326135708
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1447459706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 PACKERLAND DR",
            "address_2": "SUITE G",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543135780",
            "telephone_number": "920-496-8808",
            "fax_number": "920-496-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 PACKERLAND DR",
            "address_2": "SUITE G",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543135780",
            "telephone_number": "920-496-8808",
            "fax_number": "920-496-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACKERLAND CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-496-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Packerland Chiropratic Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• P.O.W.E.R. Wellness and Family Center, LLC
• Melissa J Paasch, APNP
• Carianne Pace, PHARMD
• Junhong Pace, NP
• Grant Andrew Packard, D.C.
• Ines C Pacurar, MD
• Kimberly Ann Page Stone, MS PC IT
• Kelly S Pagel, RN
• Mona E Pagel, MSW, APSW, LCSW
• Allison Pahl, MS, LAT, ATC

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.