BENJAMIN JOHN BREIDENBACH (NPI# 1245309327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245309327 |
| Entity Type | Individual |
| Full Name | BENJAMIN JOHN BREIDENBACH |
| Practice Address |
1640 George St Lacrosse WI 54650 |
| Mailing Address |
N5498 Hwy 35 Onalaska WI 54650 |
| Practice Telephone | 6087819880 |
| Practice Fax Number | 6087835426 |
| Mailing Telephone | 6087795323 |
| Mailing Fax Number | 6087795328 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2011-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3676012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38927000 | 05 |
| Street Address |
1640 GEORGE ST |
| City | LACROSSE |
| State | WI |
| Zip Code | 54650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568824027 | Kyle Quillin | Student in an Organized Health Care Education/Training Program | 236 Kevin Ct, Onalaska, WI 54650 | 2016-03-24 |
| 1831577881 | Katelyn Nicole Patten | Counselor | 575 Lester Ave, Onalaska, WI 54650 | 2015-05-11 |
| 1619369758 | Amelia Vruble | Registered Nurse | 1047 Terrace Drive, Onalaska, WI 54650 | 2015-02-26 |
| 1699186528 | C. Nathan Vannatta | Physical Therapist | 3111 Gunersen Dr, Onalaska, WI 54650 | 2014-05-13 |
| 1770867640 | Claire Sweet | Pharmacist | 9400 Hwy 16, Target T-0620, Onalaska, WI 54650 | 2011-10-10 |
| 1306140439 | Jared I Darveaux | Internal Medicine | 311 Gundersen Dr, Onalaska, WI 54650 | 2011-01-04 |
| 1326299488 | Demetrios Spyridon Theodoropoulos | Allergy & Immunology | 2727 Midwest Drive, Onalaska, WI 54650 | 2008-10-08 |
| 1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
| 1902972896 | Maplewood Dental | Dentist | 1202 County Trunk Ph, Suite 300, Onalaska, WI 54650 | 2006-11-24 |
| 1023193026 | Summerfield Vision Care LLC | Optometrist | 201 Sand Lake Road, Onalaska, WI 54650 | 2006-10-26 |
| Find all providers in zip 54650 | ||||
| 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 |
|---|---|---|---|---|
| 1063581312 | Allen E Macha | Chiropractor | 600 North 3rd St, Suite 201, Lacrosse, WI 54601-6299 | 2006-11-08 |
| 1598835878 | Charity K George | Chiropractor | 600 North Third St, Ste 201, Lacrosse, WI 54601-6299 | 2006-11-08 |
| 1023188315 | Kenneth H Woodruff | Chiropractor | 600 North Third Street, Ste 201, Lacrosse, WI 54601-6299 | 2006-11-08 |
| 1639259229 | Barge Chiropractic Clinic Sc | Chiropractor | 322 Cameron Avenue, Lacrosse, WI 54601 | 2006-10-17 |
| 1447344551 | Michael Todd Berkley | Chiropractor | 322 Cameron Ave, Lacrosse, WI 64601 | 2006-10-03 |
| 1508964776 | Jack W Schermerhorn | Chiropractor | 2517 South Ave, Schermerhorn Chiropractic, Lacrosse, WI 54601 | 2006-09-20 |
| 1295838670 | Three Rivers Chiropractic LLC | Chiropractor | 3237 12th Ave South, Lacrosse, WI 54601 | 2006-09-07 |
| 1215970520 | Chad Wayne Schultz | Chiropractor | 2837 Darling Court, Lacrosse, WI 54650 | 2006-06-14 |
| 1154955318 | Shannon Klein | Chiropractor | 2837 Darling Ct, Lacrosse, WI 54601-2754 | 2020-02-26 |
| 1649483157 | Rachel R Bouska | Chiropractor | 2837 Darling Court, Lacrosse, WI 54601-4478 | 2007-05-08 |
| Find all providers in LACROSSE | ||||
Please comment or provide details below to improve the information on BENJAMIN JOHN BREIDENBACH.
| 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.