DR. MICHAEL ALVAH BLODGETT (NPI# 1881062156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881062156 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ALVAH BLODGETT |
| Credential | DC |
| Practice Address |
225 Hoel Ave Stoughton WI 53589-1928 |
| Mailing Address |
3070 Fish Hatchery Rd Ste 2 Fitchburg WI 53713-3187 |
| Practice Telephone | 6082718009 |
| Practice Fax Number | 6082439290 |
| Mailing Telephone | 6082718009 |
| Mailing Fax Number | 6082439290 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2016-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 12-5107 | WI | Chiropractic Providers |
| Street Address |
225 HOEL AVE |
| City | STOUGHTON |
| State | WI |
| Zip Code | 53589-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467971507 | Linda Kay Balthazor | Registered Nurse | 900 Truman, Stoughton, WI 53589 | 2017-09-10 |
| 1801342464 | Lorchid Lanoway | Licensed Practical Nurse | 1817 Cedarbrook Ln, Unit 9, Stoughton, WI 53589 | 2016-09-01 |
| 1114203296 | Marilyn Mary Mackinnon | Pharmacist | 1705 Highway Fifty One, Stoughton, WI 53589 | 2011-11-02 |
| 1053693028 | Alfred Bennin | Pharmacist | 1705 Us Hwy 51/138, Stoughton, WI 53589 | 2011-09-15 |
| 1447531892 | Tina Ann Ferguson | Pharmacist | 1705 Us Highway 51, Stoughton, WI 53589 | 2011-08-30 |
| 1285926972 | Jenifer Lee Stokstad | Registered Nurse | 3496 Hwy 138, Stoughton, WI 53589 | 2011-05-12 |
| 1447583018 | Stephanie Marie Kind | Licensed Practical Nurse | 608 W South St, Stoughton, WI 53589 | 2009-09-14 |
| 1386885721 | Scott Tauferner | Physical Therapist | 2300 Us Hwy 51-138, Stoughton, WI 53589 | 2009-03-16 |
| 1245495480 | Roundy's Supermarkets Inc | Pharmacy | 1750 Hwy 51 W, Stoughton, WI 53589 | 2008-07-28 |
| 1720278005 | Judith Davis | Clinical Neuropsychologist | 716 Roby Rd, Stoughton, WI 53589 | 2007-08-01 |
| Find all providers in zip 53589 | ||||
| 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 |
|---|---|---|---|---|
| 1558843482 | Axis Chiropractic LLC | Chiropractor | 630 Park St Ste 301, Stoughton, MA 02072-3659 | 2018-09-06 |
| 1538373667 | Kratz Family Chiropractic | Chiropractor | 1718 Us Highway 51 and 138, Stoughton, WI 53589-1908 | 2007-05-09 |
| 1932265352 | David Ruvich | Chiropractor | 1214 Washington St, Stoughton, MA 02072-3345 | 2006-12-29 |
| 1932262656 | Gary Hutchinson | Chiropractor | 101 Kings Lynn Rd, Stoughton, WI 53589-1999 | 2006-12-18 |
| 1083785414 | Donald J Styba | Chiropractor | 101 Kings Lynn Road, Stoughton, WI 53589-1999 | 2006-11-09 |
| 1912087032 | Robert William Carne | Chiropractor | 1256 Park Street, Suite 205, Stoughton, MA 02072 | 2006-10-16 |
| 1053425348 | Jason L Guerin | Chiropractor | 798 Hwy 51 East, Stoughton, WI 53589 | 2006-08-17 |
| 1033128400 | Alan Edwin Zelm | Chiropractor | 798 Hwy 51, Stoughton, WI 53589-0339 | 2006-08-05 |
| 1548276629 | Mary Connors | Chiropractor | 1935 Washington St, Stoughton, MA 02072-3350 | 2006-07-31 |
| 1316907488 | Alan Frank Jacobson | Chiropractor | 428 Pearl St, Stoughton, MA 02072-1611 | 2006-03-24 |
| Find all providers in STOUGHTON | ||||
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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.