MILWAUKEE CHIROPRACTIC AND REHAB, LLC (NPI# 1376045534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376045534 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE CHIROPRACTIC AND REHAB, LLC |
| Practice Address |
4111 N Port Washington Rd Milwaukee WI 53212-1029 |
| Practice Telephone | 4143951279 |
| Mailing Telephone | 4143951279 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |
| Authorized Official Name | DR. CHAD SLODEN (OWNER) |
| Authorized Official Telephone | 4143951279 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4600-012 | WI | Chiropractic Providers |
| Street Address |
4111 N PORT WASHINGTON RD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992102586 | Katherine Lewis | Physician Assistant | 4111 N Port Washington Rd, Milwaukee, WI 53212-1029 | 2014-11-25 |
| 1487001103 | Comprehensive Medical Relief Center | Internal Medicine | 4111 N Port Washington Rd, Milwaukee, WI 53212-1029 | 2016-05-23 |
| 1497114912 | Saqh,inc | Clinic/Center | 4111 N Port Washington Rd, Milwaukee, WI 53212-1029 | 2016-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| 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 |
|---|---|---|---|---|
| 1962911313 | Zachary Mckee | Chiropractor | 5261 N Port Washington Rd Ste 101, Milwaukee, WI 53217-4903 | 2017-09-28 |
| 1922461037 | Zachary Brocker | Chiropractor | 10855 N Park Place, Suite 9, Milwaukee, WI 53224-3600 | 2016-04-05 |
| 1518323591 | Kronz Chiropractic Group LLC | Chiropractor | 1726 E North Ave, Milwaukee, WI 53202-1037 | 2016-01-06 |
| 1760847198 | Brittany Wolfmeyer Igwike | Chiropractor | 4433 N Oakland Ave Ste A, Milwaukee, WI 53211-1600 | 2015-12-30 |
| 1205224086 | Lor Chiropractic Clinic LLC | Chiropractor | 4701 N 76th St, Suite 201, Milwaukee, WI 53218-4700 | 2015-01-02 |
| 1649679721 | Capitol Chiropractic, Sc | Chiropractor | 6125 W Capitol Dr, Milwaukee, WI 53216-2119 | 2014-08-14 |
| 1306254453 | Lauren Zokan | Chiropractor | 1983 N Summit Ave Unit 20, Milwaukee, WI 53202-1387 | 2014-07-31 |
| 1508207374 | Steven Patrick Jennings | Chiropractor | 114 E Greenfield Ave, Milwaukee, WI 53204-2966 | 2013-07-09 |
| 1952647802 | Chiropractic Company - Third Ward Ltd | Chiropractor | 140 S 1st St Ste 101, Milwaukee, WI 53204-4317 | 2012-12-21 |
| 1487932331 | Joshua Paul Fritz | Chiropractor | 3116 S Kinnickinnic Ave, Milwaukee, WI 53207-2936 | 2011-07-26 |
| Find all providers in MILWAUKEE | ||||
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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.