Barge Chiropractic Clinic SC
Organization Active NPI Chiropractor · Lacrosse, WI
NPI 1639259229 · NPPES record last updated Oct 30, 2015
Key facts
- NPI
- 1639259229
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BARGE CHIROPRACTIC CLINIC SC
- Practice address
- 322 Cameron Avenue
Lacrosse, WI 54601 - Phone
- (608) 784-4639
- Fax
- (608) 784-3279
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Felicia M Olson
- Title
- Off MNGR
- Phone
- (608) 784-4639
Practitioners 2
-
Amanda Berkley, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110308000078 | WI | Part B Supplier - Clinic/Group Practice | 8729260187 |
Receives reassigned benefits from 2 practitioners Practice locations: La Crosse, WI |
National Provider Directory
Locations
322 Cameron Ave
La Crosse, WI 54601
Phone (608) 784-4639
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
322 Cameron Avenue
Lacrosse, WI 54601
Mailing address
322 Cameron Avenue
Lacrosse, WI 54601
Phone (608) 784-4639
Other providers in Lacrosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2015. 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.