Organization Active NPI

Family Chiropractic Health Center

  • Chiropractor
  • Tomah, WI
National Provider Identifier
1972793578
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1875-012 Issued in WI
Legal business name
FAMILY CHIROPRACTIC HEALTH CENTER
Practice address
1100 Kilbourn Ave
Tomah, WI 54660-2630
Phone
(608) 372-2747
Fax
(608) 372-3100
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Dr. Cheryl C Folstad, DC
Title
Owner
Phone
(608) 372-2747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1875-012 WI Primary

Addresses

Primary practice location

1100 Kilbourn Ave
Tomah, WI 54660-2630

Mailing address

1100 Kilbourn Ave
Tomah, WI 54660-2630
Phone (608) 372-2747

Other identifiers 1

IdentifierTypeStateIssuer
T61925OtherWIUPIN

National Provider Directory

National Provider Directory

Locations

1100 Kilbourn Ave
Tomah, WI 54660
Phone (608) 343-5025

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1972793578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 KILBOURN AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546602630",
            "telephone_number": "608-372-2747",
            "fax_number": "608-372-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 KILBOURN AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546602630",
            "telephone_number": "608-372-2747",
            "fax_number": "608-372-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "FOLSTAD",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-372-2747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1875-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T61925",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.