DR. BENJAMIN ALAN LUCZAK (NPI# 1093044133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093044133 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN ALAN LUCZAK |
| Credential | D.C. |
| Practice Address |
N68w28550 Sussex Rd Suite 2 Hartland WI 53029-9630 |
| Practice Telephone | 2625381630 |
| Practice Fax Number | 2625381628 |
| Mailing Telephone | 2625381630 |
| Mailing Fax Number | 2625381628 |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4574 | WI | Chiropractic Providers |
| Street Address |
N68W28550 SUSSEX RD SUITE 2 |
| City | HARTLAND |
| State | WI |
| Zip Code | 53029-9630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982262846 | Ascendent Health Partners | Dentist | N68w28550 Sussex Rd, Hartland, WI 53029-9630 | 2019-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042539 | Marjorie Stuart | Technician | 2410 Hirschman Lane, Hartland, WI 53029 | 2020-01-23 |
| 1063854149 | Madeline M Walter | Dentist | 231 Lawn Street, Modern Touch Dental, Hartland, WI 53029 | 2013-07-18 |
| 1801235403 | Kelly L.m. Newman | Dentist | 139 E. Capitol Dr., Hartland, WI 53029 | 2013-06-18 |
| 1124465323 | Ascension St Francis Hospital, Inc | General Acute Care Hospital | 609 River Meadow Drive, Hartland, WI 53029 | 2013-05-28 |
| 1528313384 | Kristina Johnson | Physical Therapist | 600 Hartbrook Dr Ste 111, Hartland, WI 53029 | 2012-07-18 |
| 1578822565 | Kacie Estes Walters | Chiropractor | 1120 James Dr Ste B, Hartland, WI 53029 | 2012-05-10 |
| 1639485428 | Lisa Renae Herpolsheimer | Social Worker | W331 N9103 West Shore Drive, Hartland, WI 53029 | 2010-08-31 |
| 1063669943 | John Light Atlee Sr. | Anesthesiology | W309 N6698 Caddy Court, John L. Atlee, M.d., Hartland, WI 53029 | 2008-08-22 |
| 1598947053 | Merton Community School District | Local Education Agency (LEA) | W28320 Sussex Road, Hartland, WI 53029 | 2007-11-27 |
| 1407057441 | George Chris Panos | Dentist | N 67 W 31027 Club Circle East, Hartland, WI 53029 | 2007-05-29 |
| Find all providers in zip 53029 | ||||
| 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 |
|---|---|---|---|---|
| 1578822565 | Kacie Estes Walters | Chiropractor | 1120 James Dr Ste B, Hartland, WI 53029 | 2012-05-10 |
| 1144592510 | Forward Chiropractic LLC | Chiropractor | 540 Hartbrook Dr Ste B, Hartland, WI 53029-1400 | 2012-02-01 |
| 1780956367 | Seth Andrew Barr | Chiropractor | 3037 Village Square Dr, Hartland, WI 53029-8359 | 2012-01-30 |
| 1942458401 | Hans J Halaska | Chiropractor | 365 Cottonwood Ave, Suite A, Hartland, WI 53029-2048 | 2008-09-08 |
| 1114195393 | Jeremy J Rosner | Chiropractor | 11202 Highland Rd, Hartland, MI 48353-2704 | 2008-02-11 |
| 1558404384 | Robert A Carignan | Chiropractor | 192 Commercial St, Hartland, ME 04943 | 2007-02-14 |
| 1861546335 | Duane David Jarchow | Chiropractor | 510 Hartbrook Dr, Hartland, WI 53029-1440 | 2007-01-22 |
| 1053343756 | Traci Wall | Chiropractor | 864 Rose Dr, Hartland, WI 53029-8317 | 2006-07-06 |
| 1881634608 | Integrative Chiropractic and Wellness | Chiropractor | 520 Hartbrook Dr Ste H, Hartland, WI 53029-1405 | 2006-06-08 |
| 1770522336 | Jonathan Romeo Lo | Chiropractor | 520 Hartbrook Dr, Suite H, Hartland, WI 53029-1402 | 2006-06-06 |
| Find all providers in HARTLAND | ||||
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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.