Nitschke Chiropractic Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3590 Issued in OH

Legal business name

NITSCHKE CHIROPRACTIC WELLNESS CENTER LLC

Practice address

1275 Greenville Rd
Saint Marys, OH 45885-9352

Phone

(419) 300-9790

Fax

(419) 300-9789

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Linda Nitschke

Title

Owner

Phone

(419) 300-9790

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1932373875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 GREENVILLE RD",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458859352",
            "telephone_number": "419-300-9790",
            "fax_number": "419-300-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 GREENVILLE RD",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458859352",
            "telephone_number": "419-300-9790",
            "fax_number": "419-300-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITSCHKE CHIROPRACTIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "NITSCHKE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-300-9790"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3590",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2561400",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Motter, RPH
• Kristine Marie Mullenhour, RN
• Drema Kay Myers
• Camilla Nichols
• Kendra Niekamp
• Elisha Norton, COTA/L
• Mitchell E Nutt, M.D.
• Jennifer L Nyitray, PA
• Kimberly Ann Oen, DOULA
• Kasimir Oganowski, M.D.

• Chiropractor in Saint Marys, OH
• Providers in Saint Marys, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.