GALESVILLE CHIROPRACTIC LLC (NPI# 1275939308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275939308 |
Entity Type | Organization |
Organization Name | GALESVILLE CHIROPRACTIC LLC |
Practice Address |
16812 S 2nd St Suite 120 Galesville WI 54630-7320 |
Mailing Address |
16812 S 2nd St Galesville WI 54630-7320 |
Practice Telephone | 6085824612 |
Practice Fax Number | 6085822645 |
Mailing Telephone | 6085266047 |
Mailing Fax Number | 6085822645 |
Enumeration Date | 2014-11-17 |
Last Update Date | 2015-04-03 |
Authorized Official Name | JOSEPH JOHN ANTONIE (OWNER) |
Authorized Official Telephone | 6085266047 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3388 | WI | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 38902100 | 05 |
Street Address |
16812 S 2ND ST SUITE 120 |
City | GALESVILLE |
State | WI |
Zip Code | 54630-7320 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881790202 | Joseph J Antonie | Chiropractor | 16812 S 2nd St, Ste 120, Galesville, WI 54630-7295 | 2006-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174505770 | Lillian J Nordin | Nurse Practitioner | 16812 S Main Street, Galesville, WI 54630 | 2005-11-18 |
1083964969 | Gundersen Clinic, Ltd | Clinic/Center | 16812 S Main St, Galesville, WI 54630 | 2012-09-18 |
1134235682 | Jennifer E Sorenson | Physician Assistant | 16812 S Main St, Galesville, WI 54630 | 2006-08-21 |
1669597928 | Galen Roy Koxlien | Dentist | 19815 East Gale Ave, Galesville, WI 54630-0715 | 2007-03-19 |
1750374609 | Bethany St. Joseph Corporation | Skilled Nursing Facility | 19475 Silver Creek Rd, Galesville, WI 54630-6400 | 2005-08-25 |
1851958508 | Kelly Wolf | Physical Therapy Assistant | 19475 Silver Creek Rd, Galesville, WI 54630-6400 | 2019-05-28 |
1063698298 | Molly Mae Flynn | Chiropractor | 16853 S 1st St, Galesville, WI 54630-7191 | 2008-01-17 |
1184971095 | Garet R Koxlien | Dentist | 19815 E Gale Ave, Galesville, WI 54630-7313 | 2012-08-09 |
1750739082 | Alisha Kay Koxlien | Dentist | 19815 E Gale Ave, Galesville, WI 54630-7313 | 2016-05-26 |
1407291917 | Galesville Ltc Pharmay LLC | Pharmacy | 16814 S Main St, Galesville, WI 54630-7704 | 2013-05-10 |
Find all providers in zip 54630 |
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 |
---|---|---|---|---|
1063698298 | Molly Mae Flynn | Chiropractor | 16853 S 1st St, Galesville, WI 54630-7191 | 2008-01-17 |
1881790202 | Joseph J Antonie | Chiropractor | 16812 S 2nd St, Ste 120, Galesville, WI 54630-7295 | 2006-09-15 |
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 | GALESVILLE |
Zip Code | 54630 |
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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.