SCOTT J. WAGENKNECHT, LLC (NPI# 1568644060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568644060 |
| Entity Type | Organization |
| Organization Name | SCOTT J. WAGENKNECHT, LLC |
| Practice Address |
8405 W Forest Home Ave Ste 101 Greenfield WI 53228-3407 |
| Practice Telephone | 4144239225 |
| Practice Fax Number | 4144217516 |
| Mailing Telephone | 4144239225 |
| Mailing Fax Number | 4144217516 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |
| Authorized Official Name | DR. SCOTT J WAGENKNECHT (CHIROPRACTOR) |
| Authorized Official Telephone | 4144239225 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3592-012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38925100 | 05 |
| Street Address |
8405 W FOREST HOME AVE STE 101 |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53228-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013543255 | Sonhui Edwards | Technician | 9730 W Coldspring Rd, Greenfield, WI 53228 | 2020-03-19 |
| 1710116561 | Kate Elizabeth Stolowski | Registered Nurse | 4616 S. 109th St, Greenfield, WI 53228 | 2009-07-14 |
| 1548486467 | Cynthia Denise Ireland | Physical Therapy Assistant | 3939 S 92 St, Greenfield, WI 53228 | 2007-04-18 |
| 1598800740 | Shorehaven Behavioral Health Inc | Counselor | 8405 W Forest Home Av, Suite 104, Milwaukee, WI 53228 | 2007-02-21 |
| 1194884114 | Thomas Stanley Omalley | Dentist | 8555 W Forest Home Ave, Greenfield, WI 53228 | 2006-12-06 |
| 1750468732 | Omalley Dentistry Sc | Dentist | 8555 W Forest Hm Ave, Suite 101, Greenfield, WI 53228 | 2006-11-01 |
| 1114002359 | Eileen Mary Langyel | Dentist | 3783 So 108th St, Greenfield, WI 53228 | 2006-10-26 |
| 1801998778 | William Carini Dds Sc | Dentist | 10707 W Beloit Road, Advanced Dental Treatment Center, Greenfield, WI 53228 | 2006-09-02 |
| 1497857304 | William J Carini | Dentist | 10707 W Beloit Rd, Advanced Dental Treatment Center, Green Field, WI 53228 | 2006-09-01 |
| 1609814367 | Cedar Creek Family Counseling, Inc | Counselor | 9910 W. Layton Ave, Suite 2, Greenfield, WI 53228 | 2006-06-03 |
| Find all providers in zip 53228 | ||||
| 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 |
|---|---|---|---|---|
| 1427102953 | Steven G Smith | Chiropractor | 504 Jefferson St, Greenfield, OH 45123 | 2007-01-22 |
| 1801943147 | Daniel P. Benoit | Chiropractor | 59 Riddell St, Greenfield, MA 01301-2001 | 2007-01-05 |
| 1659433852 | Wayne Garfinkel | Chiropractor | 21 Mohawk Trl, Greenfield, MA 01301-3206 | 2006-12-14 |
| 1760540611 | Gregg A Nowak | Chiropractor | 4600 W Loomis Rd Ste 110, Greenfield, WI 53220-4858 | 2006-12-04 |
| 1972671097 | Kenneth J Kerwin | Chiropractor | 8081 W Layton Ave, Greenfield, WI 53220-3712 | 2006-11-30 |
| 1417024365 | Joshua Amyas Rardin | Chiropractor | 112 Ne Hayes St, Greenfield, IA 50849-1048 | 2006-11-29 |
| 1346315686 | Jeffrey Alan Denny | Chiropractor | 77 Mohawk Trail, Greenfield, MA 01301 | 2006-11-21 |
| 1912070160 | Joseph M Pellegrino | Chiropractor | 83 Congress St, Greenfield, MA 01301-3549 | 2006-11-16 |
| 1063592335 | C A R E Chiropractic Inc | Chiropractor | 309 Jefferson St, Greenfield, OH 45123-1352 | 2006-10-17 |
| 1174615975 | Timothy John Jensen | Chiropractor | 101 Sw Jackson St, Greenfield, IA 50849-1356 | 2006-09-29 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 53228 |
Please comment or provide details below to improve the information on SCOTT J. WAGENKNECHT, LLC.
| 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.