SIREN CHIROPRACTIC, LLC


Address: 24128 State Road 35, Siren, WI 54872-8006
Phone: 7153492770

SIREN CHIROPRACTIC, LLC (NPI# 1760461545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760461545
Entity Type Organization
Organization Name SIREN CHIROPRACTIC, LLC
Practice Address 24128 State Road 35
Siren
WI 54872-8006
Mailing Address 24128 State Road 35
Po Box 31
Siren
WI 54872-8006
Practice Telephone 7153492770
Practice Fax Number 7153498799
Mailing Telephone 7153492770
Mailing Fax Number 7153498799
Enumeration Date 2006-01-11
Last Update Date 2020-08-22
Authorized Official Name DR. TRAVIS LEE STANFORD (PRESIDENT)
Authorized Official Telephone 7153492770
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 3347-012 WI Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 38899300 05

Office Location

Street Address 24128 STATE ROAD 35
City SIREN
State WI
Zip Code 54872-8006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942209812 Travis Lee Stanford Chiropractor 24128 State Road 35, Siren, WI 54872-8006 2005-07-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073989315 Kristin L Barnes Occupational Therapy Assistant 7410 Co Hwy K, Siren, WI 54872 2015-08-20
1992113815 In The Woods Apothecary Pharmacy 24106 State Rd 35, Siren, WI 54872 2014-07-23
1811137573 Linda Slaikeu Marriage & Family Therapist 23758 State Rd 35, Siren, WI 54872 2009-02-20
1245405539 Sarah L Busch Counselor 7670 Johnson Street, Siren, WI 54872 2008-04-28
1285760751 Oak Park Dental Clinic Clinic/Center 24164 Highway 35-70, Siren, WI 54872 2007-02-26
1326113275 Warren D Stouffer Counselor 24670 State Rd 35 70, Suite 1200 Aurora Community Counseling Employee Support, Siren, WI 54872 2006-11-22
1861464307 April Dawn Svoboda Smith Optometrist 24082 State Road 35, Siren, WI 54872 2006-02-07
1659770113 In The Woods Apothecary Pharmacy 24106 State Rd 35, Siren, WI 54872 2014-08-20
1063616571 Siren Family Eyecare, LLC Optometrist 24082 State Road 35, Siren, WI 54872 2007-06-11
1578644639 Hawkeye Enterprises LLC Pharmacy 24106 State Road 35, Siren, WI 54872-0000 2006-10-17
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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942209812 Travis Lee Stanford Chiropractor 24128 State Road 35, Siren, WI 54872-8006 2005-07-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518567668 Zachary Arnold Wickert Chiropractor N144w6220 Pioneer Rd, Cedarburg, WI 53012-2723 2020-10-28
1215537501 Seek Chiropractic LLC Chiropractor 405 S Farwell St Ste 21, Eau Claire, WI 54701-2701 2020-10-27
1043819824 Courtney Helen Slaby Chiropractor 559 Braund St Ste 3, Onalaska, WI 54650-8659 2020-10-22
1548869423 Journey Chiropractic LLC Chiropractor 101 E Sadd St, North Prairie, WI 53153-9775 2020-10-21
1154929909 Water City Care Mission, Inc. Chiropractor 449 High Ave., Oshkosh, WI 54901-4708 2020-10-14
1366049793 Phoenix Chiropractic and Wellness, LLC Chiropractor 250 N Green Bay Rd Unit D, Neenah, WI 54956-2285 2020-10-08
1598371668 Michael Allen Markowski Chiropractor 1632 N 18th St # 1, Manitowoc, WI 54220-1858 2020-09-23
1801408687 Chiro One Wellness Center of Pleasant Prairie LLC Chiropractor 9755 76th St Ste 730, Pleasant Prairie, WI 53158-1925 2020-08-21
1972115186 Shelby Chapelle Chiropractor 1711 Green Bay Rd Ste C, Kenosha, WI 53144-1209 2020-08-19
1659981801 Reince Chiropractic LLC Chiropractor 13382 Velp Ave Ste A, Suamico, WI 54313-8191 2020-08-03
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Competitor

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City SIREN
Zip Code 54872

Improve Information

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Dataset Information

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.

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