Carlson Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4520-012 Issued in WI

Legal business name

CARLSON CHIROPRACTIC, LLC

Doing business as

Carlson Chiropractic Clinic

Practice address

3119 Golf Rd Ste 107
Eau Claire, WI 54701-7073

Phone

(715) 579-3782

NPI assigned

Jul 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Julia Johanna Carlson, DCNPI 1609008150

Title

Doctor of Chiropractic

Phone

(715) 579-3782

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carlson Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia Johanna Carlson, D.C.

  • Chiropractor
  • Eau Claire, WI
  • NPI 1609008150
  Medicare reassignment Care Compare group Authorized official
• Britta Prince, DC

  • Chiropractor
  • Eau Claire, WI
  • NPI 1427838028
  Medicare reassignment Care Compare group NPD
• John F Soborowicz, DC

  • Chiropractor
  • Eau Claire, WI
  • NPI 1255442729
  NPD (past)
• Judy K Soborowicz, DC

  • Chiropractor
  • Eau Claire, WI
  • NPI 1104883404
  NPD (past)

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1881036580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 GOLF RD STE 107",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017073",
            "telephone_number": "715-579-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 GOLF RD STE 107",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017073",
            "telephone_number": "715-579-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSON CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "JOHANNA",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "715-579-3782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4520-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609008150",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlson Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carlson Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nolan J Campbell, LPC
• Ellen N Canopy, PA-C
• Francisco Javier Cardenas Lara, MD
• Care Full Chiropractic Incorporated
• Laurie Theresa Carlsen, LMFT
• Carlson Consultants, LLC
• David Lee Carlson, JD, CHC
• Eric D. Carlson, D.D.S.
• Julia Johanna Carlson, D.C.
• Renee M. Carlson, NP

• Chiropractor in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.