Leonard J Tomcek DC SC
Organization Active NPI Chiropractor · Schofield, WI
NPI 1992072797 · NPPES record last updated Nov 22, 2011
Key facts
- NPI
- 1992072797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1627 (WI)
- Legal business name
- LEONARD J TOMCEK DC SC
- Practice address
- 320 Ross Ave Ste 7
Schofield, WI 54476-1816 - Phone
- (715) 359-0229
- NPI assigned
- Nov 22, 2011
- Organization subpart
- No
Authorized official
- Name
- Leonard J Tomcek, DC
- Title
- Owner
- Phone
- (715) 359-0229
Practitioners 1
-
Leonard J Tomcek, D.C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120302000354 | WI | Part B Supplier - Clinic/Group Practice | 5193984656 |
Receives reassigned benefits from 1 practitioner Practice locations: Schofield, WI |
National Provider Directory
Locations
320 Ross Ave
Ste 7
Schofield, WI 54476
Phone (715) 359-0229
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1627 | WI | Yes |
Addresses
Primary practice location
320 Ross Ave Ste 7
Schofield, WI 54476-1816
Mailing address
320 Ross Ave Ste 7
Schofield, WI 54476-1816
Phone (715) 359-0229
Other providers in Schofield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.