Organization Active NPI

Signature Chiropractic Center, LLC

  • Chiropractor
  • Onalaska, WI
National Provider Identifier
1790965820
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4007012 Issued in WI
Legal business name
SIGNATURE CHIROPRACTIC CENTER, LLC
Practice address
1840 E Main St
Onalaska, WI 54650-7709
Phone
(608) 785-7778
Fax
(608) 785-1344
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Dr. Promise Rose Honeywell, D.C.
Title
Chiropractor/ Owner
Phone
(715) 965-6398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4007012 WI Primary

Addresses

Primary practice location

1840 E Main St
Onalaska, WI 54650-7709

Mailing address

1840 E Main St
Onalaska, WI 54650-7709
Phone (608) 785-7778

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1790965820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 E MAIN ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546507709",
            "telephone_number": "608-785-7778",
            "fax_number": "608-785-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 E MAIN ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546507709",
            "telephone_number": "608-785-7778",
            "fax_number": "608-785-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "HONEYWELL",
        "authorized_official_first_name": "PROMISE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CHIROPRACTOR/ OWNER",
        "authorized_official_telephone_number": "715-965-6398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4007012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.