Laura Jean Connor, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4632-012 Issued in WI

Practice address

505 W Glen St
Crandon, WI 54520-1356

Phone

(715) 478-5202

Fax

(715) 478-5205

NPI assigned

Aug 26, 2011

Last updated

Feb 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Center for Human Restoration, Inc

  • Clinic/Center
  • Crandon, WI
  • NPI 1740561521
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1528348133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545200039",
            "telephone_number": "715-478-5202",
            "fax_number": "715-478-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W GLEN ST",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545201356",
            "telephone_number": "715-478-5202",
            "fax_number": "715-478-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4632-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen A Beimborn, MEDICINE SURGERY MD
• Bobbi Jo Kapla Bissonette, APNP
• Nicholas Bolte
• Amy E Booher, APSW
• Richard Arthur Brandner, M.D.
• Elizabeth Anne Conway
• Stephanie Marie Coons, DSW
• County of Forest
• Crandon Area Rescue Squad, Inc
• Crandon Chiropractic S.C.

• 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 Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.