Active NPI
Corneiller Chiropractic
- Case Management Agency
- Eau Claire, WI
National Provider Identifier
1861645947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 3871-012
- Legal business name
- CORNEILLER CHIROPRACTIC
- Practice address
- 2811 E Hamilton Ave
Eau Claire, WI 54701-6863 - Phone
- (715) 831-8535
- Fax
- (715) 831-8535
- NPI assigned
- Nov 3, 2008
- 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
- Dr. James Joseph Corneiller, D.C.
- Title
- Chiropractor
- Phone
- (715) 831-8535
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 3871-012 | WI | Primary |
Addresses
Primary practice location
2811 E Hamilton Ave
Eau Claire, WI 54701-6863
Mailing address
2811 E Hamilton Ave
Eau Claire, WI 54701
Phone (715) 831-8535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38941300 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
2811 E Hamilton Ave
Eau Claire, WI 54701
Phone (715) 831-8535
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Eau Claire, WI
- NPI 1376684860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225670400000",
"number": "1861645947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 E HAMILTON AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "54701",
"telephone_number": "715-831-8535",
"fax_number": "715-831-8535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 E HAMILTON AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016863",
"telephone_number": "715-831-8535",
"fax_number": "715-831-8535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNEILLER CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-03",
"last_updated": "2008-11-03",
"status": "A",
"authorized_official_last_name": "CORNEILLER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "715-831-8535",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "WI",
"license": "3871-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38941300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.