Quality of Life Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2468012 Issued in WI

Legal business name

QUALITY OF LIFE CHIROPRACTIC

Practice address

729 N Main St
Viroqua, WI 54665-1147

Phone

(608) 637-6767

Fax

(608) 637-3121

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul Stewart Grenier, DCNPI 1184662561

Title

Chiropractor

Phone

(608) 637-6767

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Paul Stewart Grenier, DC

  • Chiropractor
  • Viroqua, WI
  • NPI 1184662561
  NPD (past) Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1811929490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 N MAIN ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546651147",
            "telephone_number": "608-637-6767",
            "fax_number": "608-637-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 N MAIN ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546651147",
            "telephone_number": "608-637-6767",
            "fax_number": "608-637-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OF LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "GRENIER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "608-637-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2468012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38846800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John C Porter, DO
• Deborah L Prior, M.D.
• Kyle J Prorok, LPC
• Psychiatric Associates Counseling Center LLC
• Tauqeer Qazi, MD
• Jon D Radcliffe, DO
• Ann Elizabeth Ralles, DDS
• Jacqueline S Redmer, MD
• Angela Rennilson, M.A.
• Kathryn Rice, OT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.