NPIMap

Organization Active NPI

Plover Chiropractic Center

  • Chiropractor
  • Plover, WI
National Provider Identifier
1508264433
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
418112 Issued in WI
Legal business name
PLOVER CHIROPRACTIC CENTER
Practice address
1840 Post Rd Ste 6
Plover, WI 54467-2832
Phone
(715) 342-4027
Fax
(715) 342-4430
NPI assigned
Dec 9, 2014
Last updated
Dec 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Dr. Eric Liazuk, D.C.NPI 1558309203
Title
Chiropractor
Phone
(715) 342-4027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 418112 WI Primary

Addresses

Primary practice location

1840 Post Rd Ste 6
Plover, WI 54467-2832

Mailing address

1840 Post Rd Ste 6
Plover, WI 54467-2832
Phone (715) 342-4027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1508264433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 POST RD STE 6",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544672832",
            "telephone_number": "715-342-4027",
            "fax_number": "715-342-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 POST RD STE 6",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544672832",
            "telephone_number": "715-342-4027",
            "fax_number": "715-342-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLOVER CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "LIAZUK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "715-342-4027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "418112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plover, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.