BREATH OF LIFE CHIROPRACTIC WELLNESS CENTER (NPI# 1508159088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508159088 |
| Entity Type | Organization |
| Organization Name | BREATH OF LIFE CHIROPRACTIC WELLNESS CENTER |
| Other Organization Name | BREATH OF LIFE CHIROPRACTIC |
| Practice Address |
1703 S Oneida St Suite C Appleton WI 54915-1524 |
| Mailing Address |
3701 S Johann Dr Appleton WI 54915-7066 |
| Practice Telephone | 9204191457 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |
| Authorized Official Name | SHAE A DORAN (OWNER) |
| Authorized Official Telephone | 9204191457 |
| Authorized Official Credential | D.C., CACCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 4205-12 | WI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Breath of Life Chiropractic | Doing Business As Name - Organization |
| Street Address |
1703 S ONEIDA ST SUITE C |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639342173 | Shae A Doran | Chiropractor | 1703 S Oneida St, Suite C, Appleton, WI 54915-1302 | 2008-04-04 |
| 1679918965 | Birthwise, LLC | Midwife | 1703 S Oneida St, Suite C, Appleton, WI 54915-1524 | 2013-05-01 |
| 1699034108 | Samantha Cori Greenlee | Midwife | 1703 S Oneida St, Appleton, WI 54915-1524 | 2012-05-04 |
| 1982830113 | Wendy Marijke Vanroojen | Midwife | 1703 S Oneida St, Suite C, Appleton, WI 54915-1524 | 2009-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609351311 | Alternative Center for Education, Inc. | Clinic/Center | 101 W Edison Ave # Suie115, Appleton, WI 54915-1367 | 2018-09-27 |
| 1962938381 | Cloverleaf Counseling, LLC | Clinic/Center | 3019 W Spencer St, #202, Appleton, WI 54914-5945 | 2017-05-04 |
| 1538228374 | Niedermann Chiropractic S.c. | Clinic/Center | 324 W Wisconsin Ave, Suite B, Appleton, WI 54911-4327 | 2006-12-07 |
| 1730126673 | Appleton Area Health | Clinic/Center | 30 S. Behl St., Appleton, MN 56208 | 2006-05-31 |
| 1881862340 | East Wind Acupuncture, LLC | Clinic/Center | 2600 N Richmond St, Suite C, Appleton, WI 54911-1956 | 2008-02-18 |
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| 1952915639 | Gundersen Clinic Ltd | Clinic/Center | 2615 George St, La Crosse, WI 54603-1670 | 2020-09-01 |
| 1194337212 | Accident and Injury Rehab Center, Inc | Clinic/Center | 6114 W Capitol Dr Ste 100-102, Milwaukee, WI 53216-2147 | 2020-08-19 |
| 1275159147 | American Current Care P.a. | Clinic/Center | 6302 75th St, Kenosha, WI 53142-3506 | 2020-06-17 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1598318818 | Acorn Dietetics, LLC | Clinic/Center | 906 10th Ave, New Glarus, WI 53574-9765 | 2019-07-17 |
| 1205493582 | Freedom Family Chiropractic | Clinic/Center | 809 Phillips Blvd, Sauk City, WI 53583-1313 | 2019-05-22 |
| 1376001578 | Lowtwillc | Clinic/Center | 2323 N Mayfair Rd Ste 104, Wauwatosa, WI 53226-1506 | 2019-03-06 |
| 1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
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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.