Janice Jurack, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3485 012 Issued in WI

Practice address

S69 W15689 Janesville Rd
Muskego, WI 53150-7947

Phone

(414) 422-1203

Fax

(414) 425-1225

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Muskego Health and Wellness Center SC

  • Nutrition Chiropractor
  • Muskego, WI
  • NPI 1962760140
  NPD Authorized official
• Chiropractic Associatess of Kenosha a S C

  • Clinic/Center
  • Kenosha, WI
  • NPI 1699079079
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1871656801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S69 W15689 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531507947",
            "telephone_number": "414-422-1203",
            "fax_number": "414-425-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S69 W15689 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531507947",
            "telephone_number": "414-422-1203",
            "fax_number": "414-425-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURACK",
        "first_name": "JANICE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3485 012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "391917079017",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "391917079",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerome Drugs Inc
• Joanne Malek
• Eric Casper Johnson, PHARMD
• Monica C Jones, NP
• Loretta D Jorn, RPH
• Jeanette A Kalupa, N.P.
• Ghaid Kamal, RD
• Robert F Keehn, LPC
• Deanne J Keim, DPM
• Kidney Focused Nutrition LLC

• All providers in Muskego, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.