Shullsburg Chiropractic Office, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4360-012 Issued in WI

Legal business name

SHULLSBURG CHIROPRACTIC OFFICE, LLC

Practice address

250 W Water St
Shullsburg, WI 53586-9470

Phone

(608) 965-8600

NPI assigned

Sep 15, 2011

Last updated

Sep 15, 2011By 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

Dr. Julie Frank, D.C.NPI 1477730497

Title

Owner

Phone

(608) 965-8600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Shullsburg Chiropractic Office, LLC

  • Chiropractor
  • Shullsburg, WI
  • NPI 1457521452

  O20110725000105

  Same enrollment

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.

• Julie Ann Frank, D.C.

  • Chiropractor
  • Shullsburg, WI
  • NPI 1477730497
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1861774846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W WATER ST",
            "address_2": "PO BOX 235",
            "city": "SHULLSBURG",
            "state": "WI",
            "postal_code": "535869470",
            "telephone_number": "608-965-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W WATER ST",
            "city": "SHULLSBURG",
            "state": "WI",
            "postal_code": "535869470",
            "telephone_number": "608-965-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHULLSBURG CHIROPRACTIC OFFICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-965-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4360-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lafayette County (Lafayette Hospital and Clinics Primary Care Clinic Shullsburg)
• Tiffany Ann Raisbeck, RN
• Aaron Roelli
• Shullsburg Ambulance Service
• Shullsburg Chiropractic Office, LLC
• Shullsburg School District
• Soul Good Counseling, LLC (Megan Wolf dba Soul Good Counseling, LLC)
• Megan Lynn Wolf, SAC, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.