CHARLES DENNIS WOLTER (NPI# 1477613164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477613164 |
| Entity Type | Individual |
| Full Name | CHARLES DENNIS WOLTER |
| Credential | D.C. |
| Practice Address |
4340 Otter Lake Road Eagle River WI 54521-1567 |
| Mailing Address |
Po Box 1567 Eagle River WI 54521-1567 |
| Practice Telephone | 7154799798 |
| Practice Fax Number | 7154770016 |
| Mailing Telephone | 7154799798 |
| Mailing Fax Number | 7154770016 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 2914 | FL | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 1278 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38824200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058221 | Charles Francis Wolter Jr. | Internal Medicine | 402 W Tipton St, Seymour, IN 47274-2364 | 2005-07-22 |
| Street Address |
4340 OTTER LAKE ROAD |
| City | EAGLE RIVER |
| State | WI |
| Zip Code | 54521-1567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999163 | Michelle Kay Root-mcdaniel | Psychologist | 846 Metaloon Trail, Eagle River, WI 54521 | 2020-10-09 |
| 1609488766 | Laray Alan Thompson | Pharmacist | 123 E Wall St, Eagle River, WI 54521 | 2020-08-20 |
| 1659914059 | Florence E Figueroa | Technician | 1204 Fire Tree Trl., Eagle River, WI 54521 | 2019-10-18 |
| 1366933152 | Kristine Cloutier | Acupuncturist | 109 S Main St., Eagle River, WI 54521 | 2018-05-29 |
| 1669889689 | Bradley Camp | Dentist | 415 East Wall Street, Eagle River, WI 54521 | 2014-07-22 |
| 1407188493 | Robert Edwin Bartos | Surgery | 7890 Sanctuary Drive, Eagle River, WI 54521 | 2010-02-02 |
| 1508013319 | Neal Potrykus | Dentist | 213 N. Railroad St., Eagle River, WI 54521 | 2008-08-22 |
| 1972629848 | Scott David Beattie | Dentist | 415 E Wall St, Eagle River, WI 54521 | 2007-03-22 |
| 1396870432 | Potrykus Family Dentistry LLC | Dentist | 213 N Railroad St, Eagle River, WI 54521 | 2007-02-22 |
| 1053481473 | Redman & Gelinas S C | Eyewear Supplier (Equipment, not the service) | 141 B South Willow Street, Eagle River, WI 54521 | 2006-11-09 |
| Find all providers in zip 54521 | ||||
| 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 |
|---|---|---|---|---|
| 1790335404 | Tami Lynn Hedges | Chiropractor | 13475 Charmley Cir, Eagle River, AK 99577-6825 | 2019-09-14 |
| 1134645682 | Eagle Family Chiropractic | Chiropractor | 701 N Railroad St, Eagle River, WI 54521-8833 | 2017-08-16 |
| 1891198875 | Arctic Chiropractic & Physical Medicine Eagle River LLC | Chiropractor | 11431 Business Blvd Ste 601, Eagle River, AK 99577-7738 | 2014-10-03 |
| 1609021856 | Lakes Chiropractic & Wellness Sc | Chiropractor | 761 Us Highway 45 S, Eagle River, WI 54521-9110 | 2008-12-01 |
| 1740494863 | Gregory M Culbert | Chiropractor | 11723 Old Glenn Hwy Ste 101, Eagle River, AK 99577-7749 | 2007-05-09 |
| 1952466781 | Draeger Chiropractic Clinic, S.c. | Chiropractor | 302b W Pine Street, Eagle River, WI 54521-2708 | 2006-12-22 |
| 1427131739 | Susan J Anderson | Chiropractor | 16331 Heritage Pl Ste 101, Eagle River, AK 99577-7753 | 2006-10-23 |
| 1780774117 | Myron Gay Schweigert | Chiropractor | 11462 Business Blvd, Eagle River, AK 99577-0849 | 2006-10-14 |
| 1710076856 | Northern Chiropractic, PC | Chiropractor | 11723 Old Glenn Hwy #101, Eagle River, AK 99577-7749 | 2006-10-12 |
| 1770692493 | Alaska Chiropractic and Therapy PC | Chiropractor | 11901 Business Blvd Ste 108, Eagle River, AK 99577-7701 | 2006-08-29 |
| Find all providers in EAGLE RIVER | ||||
| City | EAGLE RIVER |
| Zip Code | 54521 |
Please comment or provide details below to improve the information on CHARLES DENNIS WOLTER.
| 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.