Casco Family Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3816-012 Issued in WI

Legal business name

CASCO FAMILY CHIROPRACTIC CLINIC

Practice address

E3447 Swamp LN
Kewaunee, WI 54216-9770

Phone

(920) 388-0499

Fax

(920) 388-0499

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jamie Hollis-Heiman, D.C.

Title

Owner

Phone

(920) 388-0499

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1891867677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E3447 SWAMP LN",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542169770",
            "telephone_number": "920-388-0499",
            "fax_number": "920-388-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E3447 SWAMP LN",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542169770",
            "telephone_number": "920-388-0499",
            "fax_number": "920-388-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCO FAMILY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "HOLLIS-HEIMAN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-388-0499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3816-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Charlene M Coenen, CAPSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.