Breath of Life Chiropractic Wellness Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4205-12 Issued in WI

Legal business name

BREATH OF LIFE CHIROPRACTIC WELLNESS CENTER

Doing business as

Breath of Life Chiropractic

Practice address

1703 S Oneida St
Suite C
Appleton, WI 54915-1524

Phone

(920) 419-1457

NPI assigned

May 17, 2011

Last updated

May 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shae A Doran, D.C., CACCPNPI 1639342173

Title

Owner

Phone

(920) 419-1457

Specialties & licenses 1

Addresses

Other names 1

• Breath of Life Chiropractic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shae A Doran, D.C., CACCP

  • Chiropractor
  • Appleton, WI
  • NPI 1639342173
  Authorized official Same address or phone

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1508159088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 S JOHANN DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549157066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 S ONEIDA ST",
            "address_2": "SUITE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151524",
            "telephone_number": "920-419-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF LIFE CHIROPRACTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "DORAN",
        "authorized_official_first_name": "SHAE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-419-1457",
        "authorized_official_credential": "D.C., CACCP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "4205-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breath of Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Mae Brantmeier, RN
• Stephanie I. Braski, M.S. SAC
• Carolyn Brault
• Andrew Braun, LAT, CSCS, CES
• Lauren Rae Braun, LPC
• Nancy Ann Breger, PT
• Emily Breister, LPC-IT
• Kristen Ann Brenner, RD, CD
• Brad Kenneth Brezinski, BCBA
• Scott A Brezinsky, D.D.S

• Clinic/Center in Appleton, WI
• Providers in Appleton, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.