DR. RICKY CHARLES DRAEGER (NPI# 1407876998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407876998 |
| Entity Type | Individual |
| Full Name | DR. RICKY CHARLES DRAEGER |
| Credential | DC |
| Practice Address |
1801 W Knapp St Suite 2 Rice Lake WI 54868-1380 |
| Practice Telephone | 7152341106 |
| Practice Fax Number | 7157360960 |
| Mailing Telephone | 7152341106 |
| Mailing Fax Number | 7157360960 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2531-12 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38846700 | 05 |
| Street Address |
1801 W KNAPP ST SUITE 2 |
| City | RICE LAKE |
| State | WI |
| Zip Code | 54868-1380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760576789 | Elite Therapy Institute LLC | Durable Medical Equipment & Medical Supplies | 1801 W Knapp St, Suite 4, Rice Lake, WI 54868 | 2006-10-03 |
| 1306850961 | Kevin E Jacobson | Optometrist | 1801 W Knapp St, Ste 3, Rice Lake, WI 54868 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170791 | Samantha Barg | Physical Therapist | 1035 N. Main Street, Rice Lake, WI 54868 | 2019-05-29 |
| 1023597531 | Alison Joe Thorpe | Respite Care | 336 Gerland Rd, Rice Lake, WI 54868 | 2018-08-07 |
| 1669997946 | Char Mlejnek | Registered Nurse | 1700 W. Stout Street, Rice Lake, WI 54868 | 2017-08-08 |
| 1801344650 | Cumberland Memorial Hospital Inc | Occupational Therapist | 1895 20 1/2 Avenue, Rice Lake, WI 54868 | 2016-09-21 |
| 1851849814 | Leroy A Odden | Registered Nurse | 2135 20 1/8 Ave, Rice Lake, WI 54868 | 2016-09-19 |
| 1871903799 | Courtney Lange | Occupational Therapist | 910 Bear Paw Avenue, Rice Lake, WI 54868 | 2014-04-30 |
| 1063859130 | Mikeal Robert Ostrander | Optometrist | 320 County Highway O, Shopko Optical, Rice Lake, WI 54868 | 2013-05-30 |
| 1487976239 | Dale Henry Pracht | Pharmacist | 2601 South Main St, Kmart Pharmacy, Rice Lake, WI 54868 | 2010-02-22 |
| 1104159870 | Dianne Marie Thompson | Hearing Instrument Specialist | 212 S. Main St., Rice Lake, WI 54868 | 2009-09-14 |
| 1760646806 | Lori Ann Click Gray | Pediatrics | 736 Pine Place, Rice Lake, WI 54868 | 2008-07-17 |
| Find all providers in zip 54868 | ||||
| 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 |
|---|---|---|---|---|
| 1952878415 | Jacob Jon Desantis | Chiropractor | 1801 W Knapp St Ste 1, Rice Lake, WI 54868-1381 | 2018-11-01 |
| 1952739591 | Carter Crotteau | Chiropractor | 407 W Knapp St, Rice Lake, WI 54868-1546 | 2013-10-16 |
| 1760612295 | Aaron J Krisik | Chiropractor | 3011 S Main St, Suite 2, Rice Lake, WI 54868-8710 | 2009-07-17 |
| 1528230026 | Douglas Arvold | Chiropractor | 1822 S Main St, Rice Lake, WI 54868-2916 | 2008-03-25 |
| 1639209364 | Thomas Dee Hover | Chiropractor | 1801 West Knapp Street, Suite 1, Rice Lake, WI 54868-1381 | 2007-03-06 |
| 1972647915 | Matthew Aron Steele | Chiropractor | 935 N. Main St., Rice Lake, WI 54868 | 2007-02-15 |
| 1891855490 | James William Weber | Chiropractor | 134 W Knapp St, Rice Lake, WI 54868-1605 | 2006-12-12 |
| 1194891630 | Steven Donald Crotteau | Chiropractor | 12 W Marshall St, Suite #110, Rice Lake, WI 54868-2741 | 2006-11-27 |
| 1093811150 | Steven R Owens | Chiropractor | 3011 S Main St Ste 2, Rice Lake, WI 54868-8710 | 2006-09-16 |
| 1124040332 | David A Sommerfeld | Chiropractor | 6 W Saint Patrick St, Rice Lake, WI 54868-2867 | 2006-07-24 |
| Find all providers in RICE LAKE | ||||
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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.