Seymour Chiropractic SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3140 Issued in WI

Legal business name

SEYMOUR CHIROPRACTIC SC

Practice address

126 S Main St
Seymour, WI 54165-1475

Phone

(920) 833-7844

Fax

(920) 833-7946

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Wade David SkogmanNPI 1053319004

Title

President

Phone

(920) 833-7844

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 2

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

• Wade David Skogman, D.C.,C.S.C.S.,D.A.B.

  • Sports Physician Chiropractor
  • Seymour, WI
  • NPI 1053319004
  Medicare reassignment Care Compare group Authorized official
• Abigail Marie Nickel, DC, ATC

  • Chiropractor
  • Seymour, WI
  • NPI 1437646593
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801965694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S MAIN ST",
            "city": "SEYMOUR",
            "state": "WI",
            "postal_code": "541651475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S MAIN ST",
            "city": "SEYMOUR",
            "state": "WI",
            "postal_code": "541651475",
            "telephone_number": "920-833-7844",
            "fax_number": "920-833-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYMOUR CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKOGMAN",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-833-7844"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38882400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Sue Peterson, COTA
• Prevea Clinic, Inc.
• Ashley Theresa Reed, DDS
• Lynn M Rettler, REGISTERED NURSE
• Tim Schellinger, RPH
• Seymour Community School District
• Shopko Stores Operating Co LLC (ShopKo Optical 607)
• Shopko Stores Operating Co LLC (ShopKo Pharmacy 607)
• Tracy Sippl, M.S., CCC-SLP
• Wade David Skogman, D.C.,C.S.C.S.,D.A.B.

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

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.