TRI COUNTY CHIROPRACTIC SC (NPI# 1225148133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225148133 |
| Entity Type | Organization |
| Organization Name | TRI COUNTY CHIROPRACTIC SC |
| Practice Address |
702 Eisenhower Drive Suite G Kimberly WI 54136 |
| Practice Telephone | 9207301155 |
| Practice Fax Number | 9207301148 |
| Mailing Telephone | 9207301155 |
| Mailing Fax Number | 9207301148 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-09-09 |
| Authorized Official Name | MRS. WANDA J ROEBKE (OWNER CHRIOPRACTOR) |
| Authorized Official Telephone | 9207301155 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38995300 | 05 |
| Street Address |
702 EISENHOWER DRIVE SUITE G |
| City | KIMBERLY |
| State | WI |
| Zip Code | 54136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528689361 | Hsl 15, LLC | Assisted Living Facility | 2795 Village Square Drive, Hartland, WI 54136 | 2020-05-04 |
| 1356417067 | James Robert Boots | Chiropractor | 1020 Truman Street, Suite B, Kimberly, WI 54136 | 2006-11-27 |
| 1568572477 | Glen E Rooyakkers | Chiropractor | 702 Eisenhower Drive, Suite G, Kimberly, WI 54136 | 2006-08-30 |
| 1548273808 | Edward Theodore Bekx | Dentist | 203 W Kimberly Ave, Kimberly, WI 54136 | 2006-08-15 |
| 1477583870 | Joseph C Ferraro | Dentist | 1037-b Truman St., Kimberly, WI 54136 | 2006-07-03 |
| 1770964124 | Building Hope Therapy Services LLC | Occupational Therapist | 1113 W Kennedy Ave Ste E, Kimberly, WI 54136 | 2015-06-11 |
| 1770693681 | Wanda J Rooyakkers | Chiropractor | 702 Eisenhower Drive, Suite G, Kimberly, WI 54136 | 2006-08-30 |
| 1790798056 | Kimberly Dental Associates LLP | Dentist | 203 W Kimberly Ave, Kimberly, WI 54136 | 2006-08-15 |
| 1407869761 | Robert Alan Magnin | Dentist | 203 W Kimberly Ave, Kimberly, WI 54136 | 2006-08-15 |
| 1659331551 | Andrew John Magiera | Optometrist | 222 N Main St, Kimberly, WI 54136 | 2006-03-24 |
| Find all providers in zip 54136 | ||||
| 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 |
|---|---|---|---|---|
| 1942516703 | Fox Cities Clinic of Chiropractic | Chiropractor | 819 Schelfhout Ln Unit 105, Kimberly, WI 54136-2063 | 2010-08-30 |
| 1063728467 | Pler Yang | Chiropractor | 819 Schelfhout Ln, Suite 105, Kimberly, WI 54136-2063 | 2010-08-23 |
| 1275705907 | Zachary Patrick Papendieck | Chiropractor | 1037 Truman St, Ste B, Kimberly, WI 54136-2217 | 2008-04-02 |
| 1659420537 | Boots Chiropractic and Wellness Center, S.c. | Chiropractor | 1020 Truman St Ste B, Kimberly, WI 54136-2211 | 2007-01-09 |
| 1356417067 | James Robert Boots | Chiropractor | 1020 Truman Street, Suite B, Kimberly, WI 54136 | 2006-11-27 |
| 1912077736 | William Joseph Boots | Chiropractor | 1020 Truman St, Sutie B, Kimberly, WI 54136-2215 | 2006-11-09 |
| 1568572477 | Glen E Rooyakkers | Chiropractor | 702 Eisenhower Drive, Suite G, Kimberly, WI 54136 | 2006-08-30 |
| 1477901882 | Jason Weyenberg | Chiropractor | 702 Eisenhower Dr, Suite G, Kimberly, WI 54136-2152 | 2016-05-25 |
| 1134586100 | Matthew J Boots | Chiropractor | 1020 Truman St, Suite B, Kimberly, WI 54136-2215 | 2016-01-21 |
| 1376908061 | Appleton Wellness Way LLC | Chiropractor | 1037 Truman St, Suite B, Kimberly, WI 54136-2217 | 2015-12-22 |
| Find all providers in KIMBERLY | ||||
Please comment or provide details below to improve the information on TRI COUNTY CHIROPRACTIC SC.
| 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.