Ac Chiropractic LLC
Organization Active NPI Chiropractor · Spring Green, WI
NPI 1891004545 · NPPES record last updated Mar 18, 2015
Key facts
- NPI
- 1891004545
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3115012 (WI)
- Legal business name
- AC CHIROPRACTIC LLC
- Practice address
- 150 E Jefferson St
Spring Green, WI 53588-8000 - Phone
- (608) 588-2242
- Fax
- (608) 588-9384
- NPI assigned
- Sep 29, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Anthony T Christianson, D.C.
- Title
- President
- Phone
- (608) 588-2242
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110209000896 | WI | Part B Supplier - Clinic/Group Practice | 3476733353 |
Receives reassigned benefits from 2 practitioners Practice locations: Spring Green, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3115012 | WI | Yes |
Addresses
Primary practice location
150 E Jefferson St
Spring Green, WI 53588-8000
Mailing address
150 E Jefferson St
Spring Green, WI 53588-8000
Phone (608) 588-2242
Other names
- Christianson Back & Neck Center
Other providers in Spring Green, WI
All providers in Spring Green, WI · Chiropractor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2015. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.