Metro Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1852-012 Issued in WI

Legal business name

METRO CHIROPRACTIC, LLC

Practice address

270 E Highland Ave
Suite a
Milwaukee, WI 53202-6635

Phone

(414) 220-9441

Fax

(414) 220-9442

NPI assigned

May 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. David John Poethke, D.C.NPI 1134296197

Title

President

Phone

(414) 220-9441

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David JPHN Poethke, D.C.

  • Chiropractor
  • Milwaukee, WI
  • NPI 1134296197
  NPD (past) Authorized official

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1689809659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E HIGHLAND AVE",
            "address_2": "SUITE A",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026635",
            "telephone_number": "414-220-9441",
            "fax_number": "414-220-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E HIGHLAND AVE",
            "address_2": "SUITE A",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026635",
            "telephone_number": "414-220-9441",
            "fax_number": "414-220-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "POETHKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-220-9441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1852-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.