Wisconsin Chiropractic & Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3534-12 Issued in WI

Legal business name

WISCONSIN CHIROPRACTIC & WELLNESS CENTER LLC

Practice address

163 E North Water St
Neenah, WI 54956-2708

Phone

(920) 486-4031

Fax

(920) 725-2909

NPI assigned

Apr 7, 2014

Last updated

Apr 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hoanvu Quang Nguyen, D.C.NPI 1780782730

Title

Owner

Phone

(920) 486-4031

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hoan-Vu Quang Nguyen, D.C.

  • Chiropractor
  • Neenah, WI
  • NPI 1780782730
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1821417882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 E NORTH WATER ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562708",
            "telephone_number": "920-486-4031",
            "fax_number": "920-725-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 E NORTH WATER ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562708",
            "telephone_number": "920-486-4031",
            "fax_number": "920-725-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN CHIROPRACTIC & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HOANVU",
        "authorized_official_middle_name": "QUANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-486-4031",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3534-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Christine Wilmet, MSN, RN, APRN, FNP-C
• Edwin E Wilson, MD
• Winnebago Oral Surgery, S.C.
• Betsy R Winnekens, APNP
• Karen Sophia Winters, P.T.
• Wisconsin CVS Pharmacy LLC (CVS Pharmacy #05936)
• Wisconsin Institute of Surgical Excellence LLC
• Wisconsin Institute of Urology SC
• Wisconsin Medicaid
• Kristin Suzanne Wisniewski, M.S., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.