EXCEL FAMILY CHIROPRACTIC & WELLNESS INC (NPI# 1154510519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154510519 |
| Entity Type | Organization |
| Organization Name | EXCEL FAMILY CHIROPRACTIC & WELLNESS INC |
| Practice Address |
820 Geneva Pkwy N Unit 105 Lake Geneva WI 53147-4562 |
| Practice Telephone | 2622486700 |
| Practice Fax Number | 2622486764 |
| Mailing Telephone | 2622486700 |
| Mailing Fax Number | 2622486764 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2013-08-07 |
| NPI Deactivation Date | 06/03/2008 |
| NPI Reactivation Date | 2008-07-21 |
| Authorized Official Name | DR. DONNA J BROWN (OWNER) |
| Authorized Official Telephone | 2622486700 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2243012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE GROUP | 000035563 | 01 |
| Street Address |
820 GENEVA PKWY N UNIT 105 |
| City | LAKE GENEVA |
| State | WI |
| Zip Code | 53147-4562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083233068 | Emma Jeanette Hervat | Chiropractor | 820 Geneva Pkwy N Unit 105, Lake Geneva, WI 53147-4562 | 2020-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951206 | Emily Tanis | Physical Therapist | 6722 Wi-50, Lake Geneva, WI 53147 | 2020-08-05 |
| 1588295653 | Baylee M Noe | Occupational Therapy Assistant | Sage Meadow of Lake Geneva 6722 Wi-50, Lake Geneva, WI 53147 | 2020-01-28 |
| 1124539556 | Roxanne Weber | Registered Nurse | 146 E. Geneva Square, Lake Geneva, WI 53147 | 2017-10-12 |
| 1386969400 | Emily Kathleen Wilczak | Surgery | N2950 Wi-67, Lake Geneva, WI 53147 | 2010-03-31 |
| 1538294020 | Dale Alan Miller | Pharmacist | 2950 St. Hwy. 67, Lake Geneva, WI 53147 | 2007-02-23 |
| 1689779902 | Balistreri & Associates Physical Therapy | Physical Therapist | 902 Wells Street, Lake Geneva, WI 53147 | 2006-09-13 |
| 1336157981 | Nestor C Alabarca | Internal Medicine | 146 E Geneva Square, Lake Geneva, WI 53147 | 2006-08-03 |
| 1144259375 | Kim M. Cuculi | Occupational Therapist | 800 Geneva Pkwy N Ste 3, Lake Geneva, WI 53147 | 2006-07-01 |
| 1396253571 | Amar Y. Patel | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2018-01-22 |
| 1679017925 | Christina L. Clancy | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2016-12-06 |
| Find all providers in zip 53147 | ||||
| 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 |
|---|---|---|---|---|
| 1699845271 | Christopher A Kaiser | Chiropractor | 790 Gardner St, Lake Geneva, WI 53147-1233 | 2006-11-09 |
| 1770665283 | Jeff D Kohlbeck | Chiropractor | 105 Townline Rd, Lake Geneva, WI 53147-2502 | 2006-10-20 |
| 1134138068 | Rebecca Lynn Friedrichs | Chiropractor | 240 N Edwards Blvd, Suite 200, Lake Geneva, WI 53147-4504 | 2006-08-07 |
| 1558393447 | Donna J Brown | Chiropractor | 800 Geneva Pkwy N Unit 2, Lake Geneva, WI 53147-5701 | 2006-07-07 |
| 1083233068 | Emma Jeanette Hervat | Chiropractor | 820 Geneva Pkwy N Unit 105, Lake Geneva, WI 53147-4562 | 2020-04-10 |
| 1942540513 | Cjr Partners LLC | Chiropractor | 800 Geneva Pkwy N, Suite 102, Lake Geneva, WI 53147-5701 | 2013-02-19 |
| 1881975795 | Chad Arley Schleiger | Chiropractor | 790 Gardner St, Lake Geneva, WI 53147-1233 | 2011-09-06 |
| 1790018901 | Craig Robert Slapinski | Chiropractor | 800 Geneva Pkwy N, Suite 102, Lake Geneva, WI 53147-5701 | 2009-09-08 |
| 1083736813 | Kaiser Chiropractic, S.c. | Chiropractor | 790 Gardner St, Lake Geneva, WI 53147-1233 | 2007-04-04 |
| 1407946254 | Lake Geneva Chiropractic Partners | Chiropractor | 612 S Wells St, Suite C, Lake Geneva, WI 53147-2159 | 2006-10-13 |
| Find all providers in LAKE GENEVA | ||||
| City | LAKE GENEVA |
| Zip Code | 53147 |
Please comment or provide details below to improve the information on EXCEL FAMILY CHIROPRACTIC & WELLNESS INC.
| 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.