Lindsay Marie Whaley, D.C.
Individual provider Active NPI Chiropractor · Niagara, WI
NPI 1871756502 · NPPES record last updated Apr 19, 2016
Key facts
- NPI
- 1871756502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301009435 (MI)
- Practice address
- 621 Washington Ave
Niagara, WI 54151-1213 - Phone
- (715) 251-4020
- Fax
- (715) 251-0772
- NPI assigned
- Jul 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
621 Washington Ave
Niagara, WI 54151-1213
Phone (715) 251-4020
S216 Menominee St
Stephenson, MI 49887-8865
Phone (906) 753-4020
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI, WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080908000196 | MI | Practitioner - Chiropractic | 4082780580 | Practice locations: Stephenson, MI |
| I20150909000147 | WI | Practitioner - Chiropractic | 4082780580 | Practice locations: Niagara, WI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301009435 | MI | MD | Chiropractor |
| 5084-12 | WI | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301009435 | MI | Yes |
| Chiropractor | 111N00000X | 5084-12 | WI |
Addresses
Primary practice location
621 Washington Ave
Niagara, WI 54151-1213
Mailing address
PO Box 193
Niagara, WI 54151-0193
Phone (715) 251-4020
Other providers in Niagara, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.