Karl Albert Lickteig, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2451-012 Issued in WI

Practice address

11649 N Port Washington Rd
Suite 100
Mequon, WI 53092-3460

Phone

(262) 240-2273

Fax

(262) 240-2260

NPI assigned

Mar 30, 2007

Last updated

Dec 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lickteig Chiropractic Clinic,S.C.

  • Chiropractor
  • Mequon, WI
  • NPI 1336269661
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1932229226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11649 N PORT WASHINGTON RD",
            "address_2": "SUITE 100",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923460",
            "telephone_number": "262-240-2273",
            "fax_number": "262-240-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11649 N PORT WASHINGTON RD",
            "address_2": "SUITE 100",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923460",
            "telephone_number": "262-240-2273",
            "fax_number": "262-240-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICKTEIG",
        "first_name": "KARL",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2451-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38854100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Lewis, M.D.
• Joshua David Liberman, M.D.
• Hailey Lichey
• Elizabeth Rae Licht, LPC
• Lickteig Chiropractic Clinic,S.C.
• John Liddell, PHYSICAL THERAPIST
• Stephanie Lieberman
• Brittni Liebhauser, MSW, LCSW
• Katherine Liesener, ATC
• Life Adventure Therapies, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.