DR. BRIAN E FORMOLO (NPI# 1760427207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760427207 |
| Entity Type | Individual |
| Full Name | DR. BRIAN E FORMOLO |
| Credential | D.C. |
| Practice Address |
W180s6947 Muskego Dr Muskego WI 53150-8532 |
| Mailing Address |
1900 W Ryan Rd Oak Creek WI 53154-8233 |
| Practice Telephone | 4147742222 |
| Mailing Telephone | 4147615777 |
| Mailing Fax Number | 4147617915 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | CH12750 | FL | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 3364 | WI | Chiropractic Providers |
| Street Address |
W180S6947 MUSKEGO DR |
| City | MUSKEGO |
| State | WI |
| Zip Code | 53150-8532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003238213 | Forefront Dermatology, S.c. | Dermatology | S.69 W.15472 Janesville Road, Muskego, WI 53150 | 2014-01-08 |
| 1538590815 | Quirt Family Dentistry, Sc | Dentist | S69 W 15466 Janesville Rd, Muskego, WI 53150 | 2013-12-11 |
| 1093015273 | Angela Margaret Havaich | Registered Nurse | W189 S6940 Lembezeder Ct., Muskego, WI 53150 | 2010-10-22 |
| 1598073108 | Wal-mart Stores East Lp | Technician/Technologist | W159 S6530 Moorland, Muskego, WI 53150 | 2010-09-16 |
| 1477741585 | Lisa Jean Schneider | Audiologist | S64w13838 Jamesville Road, Muskego, WI 53150 | 2007-10-15 |
| 1134349210 | Quality Home Health Care Inc | Home Health | W125 S7554 Coventry Ln, Muskego, WI 53150 | 2007-04-30 |
| 1073631016 | Christine Joanne Schaefer | Physical Therapist | W12929 Mcshane Dr, Muskego, WI 53150 | 2007-03-27 |
| 1508922196 | Joan Marie Rasque | Licensed Practical Nurse | S70w17495 Forest Dr, Muskego, WI 53150 | 2006-12-28 |
| 1821153131 | Christopher Daniel Culligan | Chiropractor | S74 W16845 Janesville Rd., Muskego, WI 53150 | 2006-12-27 |
| 1306881594 | Muskego Nursing Home Inc. | Nursing Facility/Intermediate Care Facility | S. 77-w. 18690 Janesville Rd, Muskego, WI 53150 | 2006-06-19 |
| Find all providers in zip 53150 | ||||
| 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 |
|---|---|---|---|---|
| 1780155598 | Paige Pinnow | Chiropractor | W189s7773 Racine Ave, Muskego, WI 53150-9546 | 2018-12-06 |
| 1215366240 | Nicholas Andrew Albert | Chiropractor | W188s7830 Racine Ave Ste 100, Muskego, WI 53150-8298 | 2013-11-12 |
| 1033388400 | Chiropractic Complete Sc | Chiropractor | S74w16845 Janesville Rd, Muskego, WI 53150-8618 | 2008-02-29 |
| 1669591137 | Ralston Chiropractic | Chiropractor | S72w16484 Janesville Rd, Muskego, WI 53150-8617 | 2007-03-28 |
| 1821153131 | Christopher Daniel Culligan | Chiropractor | S74 W16845 Janesville Rd., Muskego, WI 53150 | 2006-12-27 |
| 1871656801 | Janice Jurack | Chiropractor | S69 W15689 Janesville Rd, Muskego, WI 53150-7947 | 2006-12-19 |
| 1700831658 | Darrell Lee Fynaardt | Chiropractor | S63w13620 Janesville Rd, Muskego, WI 53150-2713 | 2006-05-22 |
| 1578103578 | Affinity Family Chiropractic and Wellness, LLC | Chiropractor | W189s7773 Racine Ave, Muskego, WI 53150-9546 | 2020-01-08 |
| 1821428756 | Spine By Design Chiropractic Center, Inc. | Chiropractor | W188s7830 Racine Ave Ste 100, Muskego, WI 53150-8298 | 2013-11-13 |
| 1366742314 | Tomczak Chiropractic Office LLC | Chiropractor | S75w17475 Janesville Rd, Muskego, WI 53150-9378 | 2010-10-25 |
| Find all providers in MUSKEGO | ||||
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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.