CLINTON CHIROPRACTIC CLINIC SC (NPI# 1003813817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003813817 |
Entity Type | Organization |
Organization Name | CLINTON CHIROPRACTIC CLINIC SC |
Other Organization Name | CLINTON CHIROPRACTIC CLINIC SC |
Practice Address |
400 Ogden Ave Clinton WI 53525-9005 |
Practice Telephone | 6086762210 |
Practice Fax Number | 6086765947 |
Mailing Telephone | 6086762210 |
Mailing Fax Number | 6086765947 |
Enumeration Date | 2005-07-07 |
Last Update Date | 2010-11-18 |
Authorized Official Name | BRIAN D DITTMANN (OWNER OPERATOR) |
Authorized Official Telephone | 6086762210 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3029012 | WI | Chiropractic Providers |
Other Name | Type Code |
---|---|
Clinton Chiropractic Clinic SC | Other Name - Individual/Organization |
Street Address |
400 OGDEN AVE |
City | CLINTON |
State | WI |
Zip Code | 53525-9005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144381971 | Brian D Dittmann | Chiropractor | 400 Ogden Ave, Clinton, WI 53525-9005 | 2006-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417246042 | Barbara A Wirkus | Registered Nurse | 10003 County X, Clinton, WI 53525 | 2011-04-05 |
1629237342 | Brian A Hamann | Dentist | 301 Allen St, Clinton, WI 53525 | 2008-06-06 |
1124170568 | Susan M Spears | Registered Nurse | 10319 E. County Hwy. X, Clinton, WI 53525 | 2007-01-17 |
1982639951 | Aurora Pharmacy Inc | Pharmacy | 238 Allen St, Clinton, WI 53525 | 2006-07-11 |
1144434382 | Andrew Frank Shuler | Dentist | 714 Milwaukee Rd, Clinton, WI 53525-8902 | 2007-05-09 |
1447268487 | Tejesh N Patel | Family Medicine | 307 Ogden Ave, Clinton Clinic, Clinton, WI 53525-9007 | 2006-08-04 |
1235253691 | Beloit Cliniic, S.c. | Family Medicine | 307 Ogden Ave, Clinton, WI 53525-9007 | 2007-03-19 |
1487843538 | C Jean Dittmann | Licensed Practical Nurse | 208 Ogden Ave, Apt 4, Clinton, WI 53525-9036 | 2007-10-15 |
1598896441 | Clinton Fire Protection District | Ambulance | 145 Ogden Ave, Clinton, WI 53525-9052 | 2007-03-09 |
1417409673 | Treasa Hendrickson | Registered Nurse | 506 Hart Dr, Clinton, WI 53525-9104 | 2016-11-03 |
Find all providers in zip 53525 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558912030 | Morgan Jean Hickman | Chiropractor | 211 S Quincy St, Clinton, IL 61727-1953 | 2019-09-25 |
1699244871 | Pinnacle Integrative Healthcare, Pllc | Chiropractor | 2418 S 18th St, Clinton, IA 52732-6827 | 2018-11-17 |
1437627734 | Ashley Lynn Susie | Chiropractor | 3008 Lincoln Way Ste B, Clinton, IA 52732-7240 | 2018-11-05 |
1609342609 | Warren Chiropractic & Wellness Clinic, LLC | Chiropractor | 244 Highway 65 N Ste 1, Clinton, AR 72031-6677 | 2018-10-17 |
1609390699 | Abundant Health Chiropractic LLC | Chiropractor | 90 Beaver Ave Ste 302, Clinton, NJ 08809-1017 | 2017-08-01 |
1699204180 | Resurgencepro | Chiropractor | 1641 N 2475 W, Clinton, UT 84015-8237 | 2017-06-08 |
1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
1154739621 | Melissa Peters | Chiropractor | 2344 Camanche Ave, Clinton, IA 52732-6034 | 2014-07-29 |
1912335860 | Clinton Back and Neck Family Wellness, PC | Chiropractor | 951 13th Ave N, Clinton, IA 52732-5032 | 2013-10-30 |
Find all providers in CLINTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.