DR. MARVIN HARRY MORTENSEN (NPI# 1215098249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215098249 |
| Entity Type | Individual |
| Full Name | DR. MARVIN HARRY MORTENSEN |
| Credential | DC |
| Practice Address |
162 E Main St Mortensen Chiropractic Office Brandon WI 53919 |
| Mailing Address |
Po Box 277 162 E Main St Brandon WI 53919 |
| Practice Telephone | 9203465286 |
| Mailing Telephone | 9203465286 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2003012 | WI | Chiropractic Providers |
| Street Address |
162 E MAIN ST MORTENSEN CHIROPRACTIC OFFICE |
| City | BRANDON |
| State | WI |
| Zip Code | 53919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942458427 | Meant 2 B LLC. | Durable Medical Equipment & Medical Supplies | 350 N Center St, Brandon, WI 53919-8536 | 2008-09-08 |
| 1447666870 | Robert Frank | Nurse Practitioner | 547 E Washington St, Brandon, WI 53919-8558 | 2014-07-07 |
| 1417918640 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 601 E Clark St, Brandon, WI 53919-9549 | 2006-03-29 |
| 1033251350 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 601 E Clark St, Brandon, WI 53919-9549 | 2007-02-13 |
| 1134150022 | Jessica Y Sullivan | Nurse Practitioner | 601 E Clark St, Brandon, WI 53919-9549 | 2006-07-06 |
| 1710140488 | Mary Grace Lemmenes | Nurse Practitioner | N4439 Meadow Rd, Brandon, WI 53919-9734 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619913 | Ana Maria Guerra Garcia | Nurse Practitioner | 802 Windsor Cir, Brandon, FL 33510-2927 | 2020-11-05 |
| 1043811631 | Collins Home Care LLC | Nursing Care | 209 Commerce Dr Ste D, Brandon, MS 39042-2756 | 2020-11-02 |
| 1629678792 | Fly Above | Behavioral Analyst | 1733 Lake Chapman Dr Unit 102, Brandon, FL 33510-4127 | 2020-10-28 |
| 1891395208 | Jordyn Lee Platt | Nurse Practitioner | 1820 Coyote Pl, Brandon, FL 33511-1741 | 2020-10-27 |
| 1952900581 | Maegan Cook Bridges | Family Medicine | 312 Ridge Pointe Dr, Brandon, MS 39042-5035 | 2020-10-24 |
| 1760081301 | Magnolia Healthcare Solutions, LLC | Nursing Care | 402 Greenfield Ridge Cir, Brandon, MS 39042-7025 | 2020-10-24 |
| 1992304711 | Thomas Francis Ryan | Psychologist | 1015 Sonesta Ave, Brandon, FL 33511-6658 | 2020-10-22 |
| 1053910281 | Julie Magee Powell | Counselor | 121 Sweetgum Rd N, Brandon, MS 39047-6235 | 2020-10-19 |
| 1194323501 | Thread of Hope Counseling, LLC | Social Worker | 1219 Millennium Pkwy Ste 1007, Brandon, FL 33511-3879 | 2020-10-16 |
| 1760089429 | Helping Angels Thrive, Inc. | Day Training, Developmentally Disabled Services | 305 Providence Rd Apt 101, Brandon, FL 33511-4739 | 2020-10-06 |
| Find all providers in BRANDON | ||||
| 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 |
|---|---|---|---|---|
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1538541552 | New Day Chiropractic and Health Solutions,llc | Chiropractor | 125 Hollybush Pl, Brandon, MS 39047-7332 | 2015-06-25 |
| 1790175388 | Cody Lee Kruckenberg | Chiropractor | 312 E Holly Blvd, Brandon, SD 57005 | 2015-02-03 |
| 1881943900 | Kennedy Chiropractic Clinic Inc | Chiropractor | 393 Crossgates Blvd, Suite B, Brandon, MS 39042 | 2012-09-05 |
| 1366719619 | Ronald Jack Travis Utter | Chiropractor | 1355 Oakfield Dr, Brandon, FL 33511-4841 | 2011-11-30 |
| 1669776985 | Amanda Michelle Lenth | Chiropractor | 1806 Sterling Palms Ct Apt 302, Brandon, FL 33511-1728 | 2010-12-29 |
| 1073844684 | Vanessa Nichola Benton | Chiropractor | 500 Vonderburg Dr Ste 105, Brandon, FL 33511-5968 | 2010-01-21 |
| 1477788917 | Chad Franklin Polley | Chiropractor | 166 E Bloomingdale Ave, Suite B, Brandon, FL 33511-8101 | 2009-05-28 |
| 1104079466 | Richard E. Rogovin, Dc, Pa | Chiropractor | 506 Westbrook Ave, Brandon, FL 33511-5316 | 2008-10-30 |
| Find all providers in BRANDON | ||||
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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.