Crandon Chiropractic S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CRANDON CHIROPRACTIC S.C.

Practice address

409 N Lake Ave
Crandon, WI 54520-1285

Phone

(715) 478-3651

Fax

(715) 478-3665

NPI assigned

Nov 9, 2006

Last updated

Dec 12, 2007By 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

Dr. Wanda Jean Erdman, DC

Title

Doctor

Phone

(715) 478-3651

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1528138062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N LAKE AVE",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545201285",
            "telephone_number": "715-478-3651",
            "fax_number": "715-478-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N LAKE AVE",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545201285",
            "telephone_number": "715-478-3651",
            "fax_number": "715-478-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANDON CHIROPRACTIC S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "ERDMAN",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "715-478-3651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Jean Connor, D.C.
• Elizabeth Anne Conway
• Stephanie Marie Coons, DSW
• County of Forest
• Crandon Area Rescue Squad, Inc
• Crandon Vision Center
• Kristin Mary Dahms
• Shelby Lynn Daniels, SAC-IT
• Jolene A Derfus, SAC-IT
• Laura Donatelle, DNP APRN FNP

• Chiropractor in Crandon, WI
• Providers in Crandon, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.