MR. JOHN JEFFREY LANGE (NPI# 1154482875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154482875 |
| Entity Type | Individual |
| Full Name | MR. JOHN JEFFREY LANGE |
| Credential | D.C. |
| Practice Address |
1810 N 16th St Superior WI 54880-2550 |
| Practice Telephone | 7153945645 |
| Mailing Telephone | 7153945645 |
| Mailing Fax Number | 7153945645 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2009-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1262 | WI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437190469 | John Stephen Lange | Dentist | 62 N Union, Sparta, MI 49345 | 2006-06-09 |
| 1902890833 | John Paul Lange | Optometrist | 1171 N Cotner Blvd, Lincoln, NE 68505-1835 | 2005-09-07 |
| 1659363281 | John E Lange | Optometrist | 321 N Sequim Ave # A, Sequim, WA 98382-3457 | 2005-08-19 |
| 1467644724 | John Lange I | Technician/Technologist | 836 Farmington Ave, 121, West Hartford, CT 06119-1505 | 2007-08-10 |
| 1477625838 | John F Lange | Emergency Medicine | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2006-11-14 |
| 1639281868 | John C Lange | Orthopaedic Surgery | 1255 Liberty St, Redding, CA 96001-0814 | 2006-09-01 |
| 1154382802 | John Leslie Lange | Urology | 5500 Ellsworth Rd., Fort Smith, AR 72903-3222 | 2006-03-31 |
| Street Address |
1810 N 16TH ST |
| City | SUPERIOR |
| State | WI |
| Zip Code | 54880-2550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326108176 | Lange Chiropractic Centers, S.c. | Chiropractor | 1810 N 16th St, Superior, WI 54880-2550 | 2006-12-11 |
| 1689863672 | Dane Eric Laughlin | Chiropractor | 1810 N 16th St, Superior, WI 54880-2550 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
| 1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
| 1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
| 1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
| 1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
| 1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| Find all providers in zip 54880 | ||||
| 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 |
|---|---|---|---|---|
| 1285292029 | Madison Rae Vanata | Chiropractor | 1617 Coalton Rd, Superior, CO 80027-4610 | 2019-06-05 |
| 1811306806 | Haelee Marie Estis | Chiropractor | 300 Center Dr Ste E, Superior, CO 80027-8633 | 2014-08-04 |
| 1891042172 | 100 Percent Chiropractic Wellness Denver Two LLC | Chiropractor | 302 Center Dr, Unit B1e, Superior, CO 80027-8643 | 2012-08-06 |
| 1679801518 | Luke Chiropractic & Wellness, S.c. | Chiropractor | 916 Hammond Ave Ste 100, Superior, WI 54880-1770 | 2009-12-04 |
| 1356474860 | Janovick Family Chiropractic Sc | Chiropractor | 5919 Tower Ave, Superior, WI 54880-7226 | 2007-03-13 |
| 1568503035 | Gregory E Luke | Chiropractor | 2121 E 5th St, Superior, WI 54880-3610 | 2007-02-09 |
| 1164563433 | Thomas Myron Kintop | Chiropractor | 2425 Tower Ave, Superior, WI 54880-4841 | 2007-02-09 |
| 1326108176 | Lange Chiropractic Centers, S.c. | Chiropractor | 1810 N 16th St, Superior, WI 54880-2550 | 2006-12-11 |
| 1104863257 | Michael Jay Anderson | Chiropractor | 2911 Tower Ave, Ste 4, Superior, WI 54880-5322 | 2006-05-31 |
| 1376528018 | James Hoeffling | Chiropractor | 1728 Tower Ave, Superior, WI 54880-2543 | 2005-12-14 |
| Find all providers in SUPERIOR | ||||
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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.