CHIROPRACTIC NEUROLOGY CENTER OF GREEN BAY, LLC


Address: 2625 Development Dr, Suite 10, Green Bay, WI 54311-4250
Phone: 9203399581

CHIROPRACTIC NEUROLOGY CENTER OF GREEN BAY, LLC (NPI# 1295004992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295004992
Entity Type Organization
Organization Name CHIROPRACTIC NEUROLOGY CENTER OF GREEN BAY, LLC
Practice Address 2625 Development Dr
Suite 10
Green Bay
WI 54311-4250
Practice Telephone 9203399581
Practice Fax Number 9203399340
Mailing Telephone 9203399581
Mailing Fax Number 9203399340
Enumeration Date 2011-12-26
Last Update Date 2011-12-26
Authorized Official Name DR. SCOTT HAROLD WRUCK (OWNER)
Authorized Official Telephone 9203399581
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NN0400X Chiropractor
Specialization: Neurology
3434 WI Chiropractic Providers

Office Location

Street Address 2625 DEVELOPMENT DR
SUITE 10
City GREEN BAY
State WI
Zip Code 54311-4250

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1295370807 Jennifer Marie Arendt Technician 2970 Mossy Oak Cir #39, Green Bay, WI 54311 2019-11-07
1518508803 Cheryl Ann Johnson Specialist 830 Edgewood Dr., Green Bay, WI 54311 2019-10-08
1124670898 Robert H Wagner Family Dentist S.c. Dentist 2830 Curry Court, Suite 1, Green Bay, WI 54311 2019-07-12
1821659624 The Salvation Army Counselor The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 2019-06-24
1578052866 Matthew Robert Wagner Dentist 2830 Curry Ln #1, Green Bay, WI 54311 2018-05-02
1861916769 Atlas Spinal Care Chiropractor 2069 Central Ct, Suite 11, Green Bay, WI 54311 2017-08-01
1851844161 Green Bay Family Dental LLC Dentist 2609 Development Dr., Green Bay, WI 54311 2016-08-03
1710382809 Betsy Hoida Pharmacist 2485 Greenbrier Rd., Green Bay, WI 54311 2014-10-31
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Taxonomy Information

Taxonomy Code 111NN0400X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Neurology

Taxonomy Definition

Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions.
Notes: Source: American Chiropractic Neurology Board, 2008 & American Chiropractic Association, 2008 [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538323365 Affordable Chiropractic.biz, LLC Chiropractor 1524 University Ave, Ste 7, Green Bay, WI 54302-1800 2008-07-10
1932317096 Scott Harold Wruck Chiropractor 940 Hansen Rd, Ste F, Green Bay, WI 54304-5376 2007-05-20
1235294026 Scott A Capesius Chiropractor 850c Lombardi Ave, Green Bay, WI 54304-3768 2006-12-22
1104804012 Bay Area Chiropractic Sc Chiropractor 1441 Bellevue St, Green Bay, WI 54311-5605 2006-01-03
1619058526 Robert A Servais Jr. Chiropractor 1441 Bellevue St, Green Bay, WI 54311-5605 2006-10-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487820908 Lake Country Neurology and Spine Center Chiropractor 300 Cottonwood Ave, Suite 3, Hartland, WI 53029-2043 2008-05-05
1174714653 Apple Medical Clinic Sc Chiropractor 2000 S Memorial Dr Ste 201, Appleton, WI 54915-1237 2007-08-08
1063618718 Brian E Palevac Chiropractor N16w26535 Tall Reeds Ln, Suite G, Pewaukee, WI 53072-6614 2007-06-21
1780893628 Keith Adam Alexander Chiropractor 12719 Sheridan Rd, Pleasant Prairie, WI 53158-5336 2007-05-21
1891902888 Michael Lee Johnson Chiropractor 1713 S Oneida St, Appleton, WI 54915-7803 2007-05-17
1487783817 Michael Corr Chiropractor 114 Fs Dr # C, Viroqua, WI 54665-2222 2007-03-02
1649327784 Scott M Theirl Chiropractor 1009 W Glen Oaks Ln, Suite 207, Mequon, WI 53092-3377 2007-01-04
1285703710 Kelly G. Von-schilling Worth Chiropractor 6211 Durand Ave, Suite #100, Mount Pleasant, WI 53406 2006-11-07
1477630564 Jerod Joseph Bergman Chiropractor 401 S Pelham St, Rhinelander, WI 54501-3314 2006-11-01
1871606566 Jamie Robert Michalski Chiropractor N64w24050 Main St, Suite 306b, Sussex, WI 53089-3071 2006-08-16
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Competitor

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City GREEN BAY
Zip Code 54311

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Dataset Information

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.

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