Active NPI
Garvey Chiropractic L.L.C.
- Health Service Clinic/Center
- Green Bay, WI
National Provider Identifier
1801004692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 4305
- Legal business name
- GARVEY CHIROPRACTIC L.L.C.
- Practice address
- 110 Packerland Dr
Suite B
Green Bay, WI 54303-4861 - Phone
- (920) 494-8008
- Fax
- (920) 494-1844
- NPI assigned
- May 18, 2007
- 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
- Ms. Jolene Marie Garvey, D.C.
- Title
- Managing Member
- Phone
- (920) 494-8008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 4305 | WI | Primary |
Addresses
Primary practice location
110 Packerland Dr
Suite B
Green Bay, WI 54303-4861
Mailing address
110 Packerland Dr
Suite B
Green Bay, WI 54303-4861
Phone (920) 494-8008
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598983611 | Other | WI | PERSONAL NPI |
| 4305-012 | Other | WI | STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
110 Packerland Dr
Ste B
Green Bay, WI 54303
Phone (920) 484-8008
202 W North Water St
New London, WI 54961
Phone (920) 982-6442
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Appleton, WI
- NPI 1659475127
-
- Chiropractor
- Sioux Falls, SD
- NPI 1780839662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801004692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PACKERLAND DR",
"address_2": "SUITE B",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543034861",
"telephone_number": "920-494-8008",
"fax_number": "920-494-1844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 PACKERLAND DR",
"address_2": "SUITE B",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543034861",
"telephone_number": "920-494-8008",
"fax_number": "920-494-1844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARVEY CHIROPRACTIC L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GARVEY",
"authorized_official_first_name": "JOLENE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "920-494-8008",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "WI",
"license": "4305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "1598983611",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4305-012",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.