THREE RIVERS CHIROPRACTIC LLC (NPI# 1295838670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295838670 |
| Entity Type | Organization |
| Organization Name | THREE RIVERS CHIROPRACTIC LLC |
| Other Organization Name | M.Y. LIFE HEALTH CENTER |
| Practice Address |
3237 12th Ave South Lacrosse WI 54601 |
| Mailing Address |
3237 12th Avenue South Lacrosse WI 54601 |
| Practice Telephone | 6087833040 |
| Practice Fax Number | 8442482389 |
| Mailing Telephone | 6087833040 |
| Mailing Fax Number | 8442482389 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2016-02-15 |
| Authorized Official Name | CHAD W SCHULTZ (OFFICER CO OWNER) |
| Authorized Official Telephone | 6087833040 |
| 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 | MEDICARE RAILROAD GROUP PIN | DN3556 | 01 |
| Other Name | Type Code |
|---|---|
| M.Y. Life Health Center | Doing Business As Name - Organization |
| Street Address |
3237 12TH AVE SOUTH |
| City | LACROSSE |
| State | WI |
| Zip Code | 54601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| 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 |
| 1245309327 | Benjamin John Breidenbach | Chiropractor | 1640 George St, Lacrosse, WI 54650 | 2006-11-06 |
| 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 |
| 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 | ||||
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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.