Chiropractic Company - Cedarburg LTD
Organization Active NPI Chiropractor · Cedarburg, WI
NPI 1992827554 · NPPES record last updated Aug 25, 2025
Key facts
- NPI
- 1992827554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- CHIROPRACTIC COMPANY - CEDARBURG LTD
- Practice address
- W57N14280 Doerr Way Ste 101
Cedarburg, WI 53012-3108 - Phone
- (262) 377-3240
- Fax
- (262) 421-2773
- NPI assigned
- Apr 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. John P Corsi, DC
- Title
- Cfo
- Phone
- (414) 354-5377
Member of 1
Practitioners 5
-
Kent L McLeod, D.C.
-
Neil Truckenbrod, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080107000857 | WI | Part B Supplier - Clinic/Group Practice | 5294815957 |
Receives reassigned benefits from 2 practitioners Practice locations: Cedarburg, WI |
National Provider Directory
Locations
N144W6220 Pioneer Rd
Cedarburg, WI 53012
Phone (262) 377-3240
W57N14280 Doerr Way
Ste B
Cedarburg, WI 53012
Phone (262) 377-3240
W57N14280 Doerr Way
Ste 101
Cedarburg, WI 53012
Phone (262) 377-3240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Yes |
Addresses
Primary practice location
W57N14280 Doerr Way Ste 101
Cedarburg, WI 53012-3108
Mailing address
W57N14280 Doerr Way Ste 101
Cedarburg, WI 53012-3108
Phone (262) 377-3240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38754600 | Medicaid | WI |
Other providers in Cedarburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2025. 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.