Bartels Chiropractic Office SC
Organization Active NPI Chiropractor · Sheboygan, WI
NPI 1508040197 · NPPES record last updated Mar 3, 2008
Key facts
- NPI
- 1508040197
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1389-012 (WI)
- Legal business name
- BARTELS CHIROPRACTIC OFFICE SC
- Practice address
- 2640 N 8TH Street
Sheboygan, WI 53083-4921 - Phone
- (920) 452-7600
- Fax
- (920) 452-8270
- NPI assigned
- Dec 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Ingolf K Bartels, DC
- Title
- Owner
- Phone
- (920) 452-7600
Practitioners 1
-
Ingolf K Bartels, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080126000122 | WI | Part B Supplier - Clinic/Group Practice | 9335221514 |
Receives reassigned benefits from 1 practitioner Practice locations: Sheboygan, WI |
National Provider Directory
Locations
2640 N 8th St
Sheboygan, WI 53083
Phone (920) 452-7600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1389-012 | WI | Yes |
Addresses
Primary practice location
2640 N 8TH Street
Sheboygan, WI 53083-4921
Mailing address
2640 N 8TH Street
Sheboygan, WI 53083-4921
Phone (920) 452-7600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 395425842006 | Other | WI | BLUE CROSS BLUE SHIELD |
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2008. 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.