NPIMap

Organization Active NPI

Muskego Health and Wellness Center SC

  • Nutrition Chiropractor
  • Muskego, WI
National Provider Identifier
1962760140
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
Legal business name
MUSKEGO HEALTH AND WELLNESS CENTER SC
Practice address
S69W15689 Janesville Rd
Muskego, WI 53150-7947
Phone
(414) 422-1203
Fax
(414) 422-1225
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Mrs. Janice Jurack, D.CNPI 1871656801
Title
Chiropractor
Phone
(414) 422-1203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X Primary

Addresses

Primary practice location

S69W15689 Janesville Rd
Muskego, WI 53150-7947

Mailing address

S69W15689 Janesville Rd
Muskego, WI 53150-7947
Phone (414) 422-1203

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1962760140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S69W15689 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531507947",
            "telephone_number": "414-422-1203",
            "fax_number": "414-422-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S69W15689 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531507947",
            "telephone_number": "414-422-1203",
            "fax_number": "414-422-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKEGO HEALTH AND WELLNESS CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "JURACK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "414-422-1203",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskego, WI

Sources for this page

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

Verify at the official NPI Registry.