Natural Medicine Center of Wisconsin LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4514-012 Issued in WI

Legal business name

NATURAL MEDICINE CENTER OF WISCONSIN LLC

Practice address

431 2ND St Ste 102
Hudson, WI 54016-2504

Phone

(715) 579-7145

Fax

(866) 721-1151

NPI assigned

Apr 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Crystal Schmidt, DC

Title

Owner

Phone

(715) 579-7145

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1790041242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 2ND ST STE 102",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540162504",
            "fax_number": "866-721-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 2ND ST STE 102",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540162504",
            "telephone_number": "715-579-7145",
            "fax_number": "866-721-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL MEDICINE CENTER OF WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-579-7145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4514-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.