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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3347-012 | WI | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 38899300 | 05 |
Street Address |
24128 STATE ROAD 35 |
City | SIREN |
State | WI |
Zip Code | 54872-8006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942209812 | Travis Lee Stanford | Chiropractor | 24128 State Road 35, Siren, WI 54872-8006 | 2005-07-21 |
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 |
Find all providers in zip 54872 |
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 |
---|---|---|---|---|
1942209812 | Travis Lee Stanford | Chiropractor | 24128 State Road 35, Siren, WI 54872-8006 | 2005-07-21 |
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 |
Find all providers with the same taxonomy |
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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.