Shullsburg Chiropractic Office, LLC
Organization Active NPI Chiropractor · Shullsburg, WI
NPI 1457521452 · NPPES record last updated Aug 23, 2011
Key facts
- NPI
- 1457521452
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- SHULLSBURG CHIROPRACTIC OFFICE, LLC
- Practice address
- 250 W Water St
Shullsburg, WI 53586-9470 - Phone
- (608) 965-8600
- Fax
- (608) 965-8601
- NPI assigned
- Mar 5, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Julie A. Frank, D.C.
- Title
- Owner
- Phone
- (815) 266-9167
Other NPIs on the same Medicare enrollment 1
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110725000105 | WI | Part B Supplier - Clinic/Group Practice | 4082882758 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Shullsburg, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
250 W Water St
Shullsburg, WI 53586-9470
Mailing address
250 W Water St
PO Box 235
Shullsburg, WI 53586-9470
Phone (608) 965-8600
Other providers in Shullsburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.