Active NPI
Fisher Family Chiropractic, S.C.
- Chiropractor
- Mequon, WI
National Provider Identifier
1912266164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4590
- Legal business name
- FISHER FAMILY CHIROPRACTIC, S.C.
- Practice address
- 1240 W Ranchito LN
Mequon, WI 53092-6089 - Phone
- (262) 240-9946
- Fax
- (262) 240-9947
- NPI assigned
- May 9, 2012
- Last updated
- May 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Theodore Fisher Jr., D.C.
- Title
- President
- Phone
- (906) 869-6401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4590 | WI | Primary |
Addresses
Primary practice location
1240 W Ranchito LN
Mequon, WI 53092-6089
Mailing address
1240 W Ranchito LN
Mequon, WI 53092-6089
Phone (262) 240-9946
National Provider Directory
National Provider DirectoryLocations
6028 W Mequon Rd
Ste 200
Mequon, WI 53092
Phone (262) 240-9946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336521600000",
"number": "1912266164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 W RANCHITO LN",
"city": "MEQUON",
"state": "WI",
"postal_code": "530926089",
"telephone_number": "262-240-9946",
"fax_number": "262-240-9947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 W RANCHITO LN",
"city": "MEQUON",
"state": "WI",
"postal_code": "530926089",
"telephone_number": "262-240-9946",
"fax_number": "262-240-9947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FISHER FAMILY CHIROPRACTIC, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "THEODORE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "906-869-6401",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.