Stucky Chiropractic Menomonie S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4638-12 Issued in WI

Legal business name

STUCKY CHIROPRACTIC MENOMONIE S.C.

Practice address

700 Wolske Bay Rd
Suite 150
Menomonie, WI 54751-1612

Phone

(715) 231-2233

Fax

(715) 231-2236

NPI assigned

Aug 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Angela Lynn Lew, DC

Title

Chiropractor/Owner

Phone

(715) 231-2233

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Pamela J Stucky-Laguardia, DC

  • Chiropractor
  • Eau Claire, WI
  • NPI 1700877594
  NPD (past)

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1972058261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WOLSKE BAY RD",
            "address_2": "SUITE 150",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511612",
            "telephone_number": "715-231-2233",
            "fax_number": "715-231-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WOLSKE BAY RD",
            "address_2": "SUITE 150",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511612",
            "telephone_number": "715-231-2233",
            "fax_number": "715-231-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUCKY CHIROPRACTIC MENOMONIE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "LEW",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "715-231-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4638-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376854851",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Stauss, MS
• Santana Rae Stauty, LPC MS CRC
• Emily Stogdill
• Ashley Strenke, PHARMD
• Jennifer A Strong, MD
• Hayley Suckow
• Nicholle Karen Super, RD, CD
• Shawn W Swaenepoel, D.O.
• Heidi Swartz
• Cara N. Syth, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.