AMANDA J PENNEKAMP


Address: 2702 Monroe St, Madison, WI 53711-1888
Phone: 6083166972

AMANDA J PENNEKAMP (NPI# 1336410547) 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) 1336410547
Entity Type Individual
Full Name AMANDA J PENNEKAMP
Credential DC
Practice Address 2702 Monroe St
Madison
WI 53711-1888
Practice Telephone 6083166972
Practice Fax Number 6082319690
Mailing Telephone 6083166972
Mailing Fax Number 6082319690
Enumeration Date 2012-01-19
Last Update Date 2012-11-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 4784 WI Chiropractic Providers

Office Location

Street Address 2702 MONROE ST
City MADISON
State WI
Zip Code 53711-1888

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417957994 Galen J Baker Chiropractor 2702 Monroe St, Madison, WI 53711-1888 2005-07-27
1194194225 Jahna Cook Acupuncturist 2702 Monroe St, Madison, WI 53711-1888 2015-09-18
1184959405 Monroe Street Family Dental, LLC Clinic/Center 2702 Monroe St, Madison, WI 53711-1888 2009-10-04
1689804338 Sara R Jurgella Chiropractor 2702 Monroe St, Madison, WI 53711-1888 2009-07-15
1447436951 Benjamin Michael Mikla Chiropractor 2702 Monroe St, Madison, WI 53711-1888 2008-01-15
1194854521 Benjamin Joseph Farrow Dentist 2702 Monroe St, Madison, WI 53711-1888 2007-03-02
1952393712 Harvey T Storm Chiropractor 2702 Monroe St, Madison, WI 53711-1888 2005-08-18
1649262403 Eugene R Yellen-shiring Chiropractor 2702 Monroe St, Madison, WI 53711-1888 2005-08-18
1699767368 Stephen R Dewitt Chiropractor 2702 Monroe St, Madison, WI 53711-1888 2005-08-18
1457343246 Luedtke-storm-mackey Chiropractic Clinic, Sc Chiropractor 2702 Monroe St, Suite B, Madison, WI 53711-1897 2005-08-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487296307 Exact Sciences Laboratories, LLC Clinical Medical Laboratory 650 Forward Drive, Madison, WI 53711 2019-10-11
1508417916 Cassandra D Pasquariello Psychologist Department of Athletics, 1440 Monroe Street, Madison, WI 53711 2019-09-26
1972161628 Leah Bastian Marriage & Family Therapist 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 2019-05-29
1457810673 Leah Smith Specialist/Technologist 1436 Monroe Street, Madison, WI 53711 2019-03-18
1669942249 Patrick Soltvedt Bohn Physician Assistant 1034 Waban Hill, Madison, WI 53711 2018-11-27
1760975395 Alysha Rolli Dentist 2945 Triverton Pike Dr, Fitchburg, WI 53711 2018-06-08
1265922561 Farence Rogers Student in an Organized Health Care Education/Training Program 1475 Engineering Dr. Madison, Madison, WI 53711 2018-05-14
1588015358 Kristen Siskovich Speech-Language Pathologist 2927 Fish Hatchery Rd., Fitchburg, WI 53711 2016-06-23
1598132383 Shari Eberhardt Nurse Practitioner Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 2015-08-27
1649646506 Oak Park Place of Nakoma, LLC Skilled Nursing Facility 4327 Nakoma Road, Madison, WI 53711 2015-08-14
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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013543198 Logan Georgeson Chiropractor 132 Alton Dr, Madison, WI 53718-9156 2020-03-20
1710527965 Stephen Grooms Chiropractor 8103 Highway 72 W Ste E, Madison, AL 35758-9529 2020-01-15
1194365239 Jacob Riley Calder Chiropractor 71 Bradley Rd Unit 5, Madison, CT 06443-2662 2020-01-07
1962041061 Kendyl Rose Greimann Chiropractor 2639 University Ave # 200, Madison, WI 53705-3750 2020-01-06
1265074306 Austin Tray Klute Chiropractor 6075 Gemini Dr Ste 101, Madison, WI 53718-3013 2019-10-10
1245871573 Jennifer Humphrey Chiropractor 5609 Medical Cir Ste 2, Madison, WI 53719-1228 2019-10-08
1720540164 Apex Chiropractic Center LLC Chiropractor 562 Junction Road, Madison, WI 53717 2019-04-04
1669946836 Timothy Grayson Ernst Chiropractor 135 Main St Ste 101, Madison, NJ 07940-2165 2019-01-21
1982196630 Thrive Chiropractic LLC Chiropractor 637 E Washington Ave, Madison, WI 53703-2909 2018-05-30
1669989299 Joseph Kevin Kelbel Chiropractor 6138 Mineral Point Rd, Madison, WI 53705-4458 2018-01-04
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Competitor

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City MADISON
Zip Code 53711

Improve Information

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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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