Aascend Chiropractic Institute, S.C.
Organization Active NPI Chiropractor · Appleton, WI
NPI 1679074579 · NPPES record last updated Feb 26, 2018
Key facts
- NPI
- 1679074579
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2757-12 (WI)
- Legal business name
- AASCEND CHIROPRACTIC INSTITUTE, S.C.
- Practice address
- 842 N Westhill Blvd
Appleton, WI 54914-5788 - Phone
- (920) 574-3622
- Fax
- (920) 574-3661
- NPI assigned
- Feb 26, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Randall L Blohowiak, DC
- Title
- Secretary and Treasurer
- Phone
- (920) 574-3622
Practitioners 2
-
Landra Jo Pierce, D.C.
-
Benjamin R Reineking, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180330000539 | WI | Part B Supplier - Clinic/Group Practice | 7113289208 |
Receives reassigned benefits from 2 practitioners Practice locations: Appleton, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2757-12 | WI | Yes |
Addresses
Primary practice location
842 N Westhill Blvd
Appleton, WI 54914-5788
Mailing address
842 N Westhill Blvd
Appleton, WI 54914-5788
Phone (920) 574-3622
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2018. 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.