ERIC BOETTCHER, S.C. (NPI# 1245337559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245337559 |
| Entity Type | Organization |
| Organization Name | ERIC BOETTCHER, S.C. |
| Other Organization Name | REDGRANITE FAMILY CHIROPRACTIC |
| Practice Address |
1100 E Bannerman Avenue Suite 2 Redgranite WI 54970 |
| Mailing Address |
Po Box 447 Redgranite WI 54970-0447 |
| Practice Telephone | 9205660767 |
| Practice Fax Number | 9205660769 |
| Mailing Telephone | 9205660767 |
| Mailing Fax Number | 9205660769 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-07-26 |
| Authorized Official Name | DR. ERIC S BOETTCHER (CHIROPRACTOR) |
| Authorized Official Telephone | 9205660767 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4106 | WI | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Redgranite Family Chiropractic | Doing Business As Name - Organization |
| Street Address |
1100 E BANNERMAN AVENUE SUITE 2 |
| City | REDGRANITE |
| State | WI |
| Zip Code | 54970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447243399 | Thedacare Medical Center - Berlin, Inc. | Home Health | 402 Preston Lane, Redgranite, WI 54970 | 2005-08-25 |
| 1801903414 | Terry L Hankey | Family Medicine | 620 Warren St, Redgranite, WI 54970-0476 | 2006-08-23 |
| 1336204643 | Charles Albert Huibregtse | Family Medicine | 1600 County Rd Ee, Redgranite Correctional Institution, Redgranite, WI 54970-0900 | 2006-12-27 |
| 1851573596 | Mary Ellen Weidner-ruediger | Occupational Therapist | W5004 Beechnut Avenue, Redgranite, WI 54970-6904 | 2007-12-05 |
| 1346472149 | Linda A. Eisner | Licensed Practical Nurse | W3637 Center Dr, Redgranite, WI 54970-7073 | 2009-08-13 |
| 1942543343 | Christine Hohenstein | Registered Nurse | 232 Maple St, Redgranite, WI 54970-9121 | 2013-04-03 |
| 1750306957 | Eric Steven Boettcher | Chiropractor | 1100 E Bannerman Ave, Redgranite, WI 54970-9320 | 2006-07-12 |
| 1194810846 | Craig Dennis Maskil | Internal Medicine | 1100 E Bannerman Ave, Redgranite, WI 54970-9320 | 2006-10-04 |
| 1962768937 | Community Healt Network | Family Medicine | 402 Preston Ln, Redgranite, WI 54970-9350 | 2012-04-04 |
| 1598713026 | Robert B Devermann | Family Medicine | 620 Warren St, Redgranite, WI 54970-9391 | 2006-05-05 |
| Find all providers in zip 54970 | ||||
| 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 |
|---|---|---|---|---|
| 1750306957 | Eric Steven Boettcher | Chiropractor | 1100 E Bannerman Ave, Redgranite, WI 54970-9320 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567668 | Zachary Arnold Wickert | Chiropractor | N144w6220 Pioneer Rd, Cedarburg, WI 53012-2723 | 2020-10-28 |
| 1215537501 | Seek Chiropractic LLC | Chiropractor | 405 S Farwell St Ste 21, Eau Claire, WI 54701-2701 | 2020-10-27 |
| 1043819824 | Courtney Helen Slaby | Chiropractor | 559 Braund St Ste 3, Onalaska, WI 54650-8659 | 2020-10-22 |
| 1548869423 | Journey Chiropractic LLC | Chiropractor | 101 E Sadd St, North Prairie, WI 53153-9775 | 2020-10-21 |
| 1154929909 | Water City Care Mission, Inc. | Chiropractor | 449 High Ave., Oshkosh, WI 54901-4708 | 2020-10-14 |
| 1366049793 | Phoenix Chiropractic and Wellness, LLC | Chiropractor | 250 N Green Bay Rd Unit D, Neenah, WI 54956-2285 | 2020-10-08 |
| 1598371668 | Michael Allen Markowski | Chiropractor | 1632 N 18th St # 1, Manitowoc, WI 54220-1858 | 2020-09-23 |
| 1801408687 | Chiro One Wellness Center of Pleasant Prairie LLC | Chiropractor | 9755 76th St Ste 730, Pleasant Prairie, WI 53158-1925 | 2020-08-21 |
| 1972115186 | Shelby Chapelle | Chiropractor | 1711 Green Bay Rd Ste C, Kenosha, WI 53144-1209 | 2020-08-19 |
| 1659981801 | Reince Chiropractic LLC | Chiropractor | 13382 Velp Ave Ste A, Suamico, WI 54313-8191 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | REDGRANITE |
| Zip Code | 54970 |
Please comment or provide details below to improve the information on ERIC BOETTCHER, S.C..
| 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.