VICTORIA SANDSTROM (NPI# 1114453701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114453701 |
Entity Type | Individual |
Full Name | VICTORIA SANDSTROM |
Credential | DC |
Practice Address |
21150 W Capitol Dr Suite 5 Brookfield WI 53072-2911 |
Practice Telephone | 4144825282 |
Enumeration Date | 2017-05-03 |
Last Update Date | 2017-05-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5272-12 | WI | Chiropractic Providers |
N | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
5272-12 | WI | Chiropractic Providers |
Street Address |
21150 W CAPITOL DR SUITE 5 |
City | BROOKFIELD |
State | WI |
Zip Code | 53072-2911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205362894 | Peter James Gonzalez | Chiropractor | 21150 W Capitol Dr, Suite 5, Brookfield, WI 53072-2911 | 2017-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
1871122556 | Mary Kofigah | Nurse Practitioner | 21150 W. Capital Dr., Brookfield, WI 53072 | 2020-04-05 |
1609436559 | Brianna Kelly Bates | Optometrist | 1440 Capitol Drive, Suite B, Pewaukee, WI 53072 | 2019-06-13 |
1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
1346664869 | Jane Sweney | Counselor | 325 Forest Grove Drive, Pewaukee, WI 53072 | 2014-02-05 |
1093082182 | Kristin Elizabeth Thieneman | Pharmacist | 443 Pewaukee Road, Pewaukee, WI 53072 | 2011-11-17 |
1922318393 | Ariane Machin | Psychologist | 161 W. Wisconsin Ave #2b, Pewaukee, WI 53072 | 2010-10-19 |
1083930879 | Scott Robert Borkenhagen | Student in an Organized Health Care Education/Training Program | 384 Willow Grove Dr., Unit D, Pewaukee, WI 53072 | 2010-04-19 |
1912174988 | Robert Thomas Lynch | Dentist | 234 Oakton Ave, Pewaukee, WI 53072 | 2008-05-09 |
Find all providers in zip 53072 |
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 |
---|---|---|---|---|
1295378875 | Lifeclinic of Wi Sc | Chiropractor | 17585 Golf Pkwy, Brookfield, WI 53045-2948 | 2019-10-25 |
1811462971 | Zachary Ivan Kienol | Chiropractor | 150 S Sunny Slope Rd Ste 148, Brookfield, WI 53005-6461 | 2018-10-04 |
1912408246 | Adam Cosson | Chiropractor | 19575 Janacek Ct Ste 103, Brookfield, WI 53045-7101 | 2018-02-22 |
1699282632 | Ascent Chiropractic LLC | Chiropractor | 16620 W Bluemound Rd # 405, Brookfield, WI 53005-5966 | 2017-12-29 |
1790204832 | Grant Keith Radermacher | Chiropractor | 16620 W Bluemound Rd, Brookfield, WI 53005-5966 | 2017-09-10 |
1114452091 | North Point Chiropractic LLC | Chiropractor | 21150 Capitol Dr, Suite 5, Brookfield, WI 53072-2911 | 2017-04-27 |
1740737519 | Steffen Mccullough | Chiropractor | 21180 W Capitol Dr Ste 3, Brookfield, WI 53072-2917 | 2016-09-08 |
1740652817 | Christopher Proulx | Chiropractor | 88 Garney Rd, Brookfield, NH 03872-7407 | 2015-10-28 |
1407235674 | Wilson Chiropractic LLC | Chiropractor | 19265 W Capitol Dr, Unit B, Brookfield, WI 53045-2740 | 2015-05-21 |
1548656739 | Jonathan Stevenson | Chiropractor | 19555 W Bluemound Rd, Ste 6, Brookfield, WI 53045-5934 | 2015-04-14 |
Find all providers in BROOKFIELD |
City | BROOKFIELD |
Zip Code | 53072 |
Please comment or provide details below to improve the information on VICTORIA SANDSTROM.
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.