ONE LIFE CHIROPRACTIC LLC (NPI# 1770015257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770015257 |
| Entity Type | Organization |
| Organization Name | ONE LIFE CHIROPRACTIC LLC |
| Practice Address |
716 Saint Croix St Prescott WI 54021-1445 |
| Practice Telephone | 7152621147 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |
| Authorized Official Name | DR. CARL CALABRESE (OWNER) |
| Authorized Official Telephone | 7152621147 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5247-12 | WI | Chiropractic Providers |
| Street Address |
716 SAINT CROIX ST |
| City | PRESCOTT |
| State | WI |
| Zip Code | 54021-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730627514 | Carl Manuel Calabrese | Chiropractor | 716 Saint Croix St, Prescott, WI 54021-1445 | 2017-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922104801 | Gerald Otto Gatzke | Dentist | 127 Broad St N, Prescott, WI 54021-0000 | 2006-09-16 |
| 1336328038 | School District of Prescott | Local Education Agency (LEA) | 1220 Saint Croix St, Prescott, WI 54021-1042 | 2007-10-30 |
| 1336407386 | Hillary Jane Hunter | Dentist | 1267 Walnut St, Prescott, WI 54021-1060 | 2012-04-27 |
| 1922090521 | Ccg Prescott, Inc | Skilled Nursing Facility | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2005-08-19 |
| 1467051714 | Rebekah Kimlinger | Physical Therapist | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2020-10-19 |
| 1548886278 | Sara Michele Jenkins | Occupational Therapy Assistant | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2020-06-18 |
| 1245700624 | Caitlin Ann Johnson | Occupational Therapy Assistant | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2018-11-28 |
| 1164991980 | Sarah Hei | Occupational Therapist | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2018-11-21 |
| 1861960791 | Janna M Johnson | Physical Therapist | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2018-11-08 |
| 1124528393 | Morgan Lee Williamson | Occupational Therapy Assistant | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2018-02-14 |
| Find all providers in zip 54021 | ||||
| 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 |
|---|---|---|---|---|
| 1003313024 | Lifestyle Chiropractic LLC | Chiropractor | 142 N Rush St Ste 1, Prescott, AZ 86301-3225 | 2018-04-06 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1457853665 | Tiffany Lynn Nichole John | Chiropractor | 142 N Rush St, Ste 1, Prescott, AZ 86301-3225 | 2018-03-03 |
| 1730627514 | Carl Manuel Calabrese | Chiropractor | 716 Saint Croix St, Prescott, WI 54021-1445 | 2017-02-01 |
| 1609262096 | Robert Boehland | Chiropractor | 2225 E State Route 69, Suite A, Prescott, AZ 86301-5657 | 2015-04-13 |
| 1528367521 | Donald Burton Schueller | Chiropractor | 219 Broad St N, Prescott, WI 54021-1703 | 2011-03-16 |
| 1760710453 | Advanced Chiropractic Center, Inc. | Chiropractor | 728 N Montezuma St Ste A, Prescott, AZ 86301-2090 | 2009-11-18 |
| 1609102359 | Justin Boyce Bryce | Chiropractor | 119 Garden St, Suite C, Prescott, AZ 86305-2913 | 2009-10-29 |
| 1225278286 | Steven M. Teagarden | Chiropractor | 119 Grove Ave, Suite D, Prescott, AZ 86301-2902 | 2009-03-03 |
| 1770766214 | Mark Edward Miller I | Chiropractor | 240 S Montezuma St Ste 204, Prescott, AZ 86303-4787 | 2007-12-06 |
| Find all providers in PRESCOTT | ||||
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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.