Active NPI
Pomranke Inc
- Chiropractor
- La Crosse, WI
National Provider Identifier
1720452030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4703-012
- Legal business name
- POMRANKE INC
- Practice address
- 4535 Mormon Coulee Rd
Ste 3
La Crosse, WI 54601-8232 - Phone
- (651) 500-9684
- NPI assigned
- Nov 24, 2015
- Last updated
- Nov 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Corey Pomranke, D.C.
- Title
- President
- Phone
- (651) 500-9684
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4703-012 | WI | Primary |
Addresses
Primary practice location
4535 Mormon Coulee Rd
Ste 3
La Crosse, WI 54601-8232
Mailing address
4535 Mormon Coulee Rd
Ste 3
La Crosse, WI 54601-8232
Phone (651) 500-9684
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 359600005 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
4535 Mormon Coulee Rd
Ste 3
La Crosse, WI 54601
Phone (608) 881-6052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448323200000",
"number": "1720452030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 MORMON COULEE RD",
"address_2": "STE 3",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546018232",
"telephone_number": "651-500-9684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4535 MORMON COULEE RD",
"address_2": "STE 3",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546018232",
"telephone_number": "651-500-9684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POMRANKE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-24",
"last_updated": "2015-11-24",
"status": "A",
"authorized_official_last_name": "POMRANKE",
"authorized_official_first_name": "COREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-500-9684",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "4703-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "359600005",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.