BLACK EARTH CHIROPRACTIC LLC (NPI# 1902146160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902146160 |
| Entity Type | Organization |
| Organization Name | BLACK EARTH CHIROPRACTIC LLC |
| Practice Address |
9749 Kahl Rd Black Earth WI 53515-9516 |
| Practice Telephone | 6087672226 |
| Mailing Telephone | 6087672226 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |
| Authorized Official Name | DR. DUSTIN REESON (CHIROPRACTOR/OWNER) |
| Authorized Official Telephone | 6087983437 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
4130-012 | WI | Ambulatory Health Care Facilities |
| Street Address |
9749 KAHL RD |
| City | BLACK EARTH |
| State | WI |
| Zip Code | 53515-9516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003058710 | Jpm Chiropractic LLC | Chiropractor | 9749 Kahl Rd, Black Earth, WI 53515-9516 | 2009-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275026650 | Hegerfeld Chiropractic LLC | Chiropractor | 9749 Kahl Road, Black Earth, WI 53515 | 2018-06-11 |
| 1174500813 | Village Family Dental Asscociates | Dentist | 1209 Mills St, Black Earth, WI 53515-9420 | 2005-12-23 |
| 1215906243 | Stacy J Schmidt | Dental Hygienist | 1209 Mills St, Black Earth, WI 53515-9420 | 2006-03-14 |
| 1790765659 | Melinda A Heathcote | Dental Hygienist | 1209 Mills St, Black Earth, WI 53515-9420 | 2006-01-18 |
| 1285614131 | Maria Coffey | Dental Hygienist | 1209 Mills St, Black Earth, WI 53515-9420 | 2006-01-18 |
| 1124007844 | Todd A Stahnke | Dentist | 1209 Mills St, Black Earth, WI 53515-9420 | 2006-01-11 |
| 1174588982 | Linnea J. Smith | Emergency Medicine | 1518 Mills St, Black Earth, WI 53515-9423 | 2006-04-18 |
| 1215445499 | Tessa Slama | Behavioral Analyst | 1100 Hillcrest Rd, Black Earth, WI 53515-9439 | 2018-01-22 |
| 1972841278 | Nicole Ducharme | Chiropractor | 4866 Carya Rd, Black Earth, WI 53515-9508 | 2013-01-21 |
| 1215292982 | Vanessa M Sievert | Occupational Therapist | 2043 Stephanie Ct, Black Earth, WI 53515-9520 | 2012-07-09 |
| Find all providers in zip 53515 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1114379310 | East Meets West Therapeutics Sc | Clinic/Center | 136 N Main St Ste 305, Thiensville, WI 53092-1606 | 2016-07-12 |
| 1912358128 | Achieve Wellness, LLC | Clinic/Center | 3300 Birch St Ste 1b, Eau Claire, WI 54703-2297 | 2016-06-29 |
| 1003276841 | Mobile Medical Diagnostic Services LLC | Clinic/Center | 5205 S 13th St, Unit E, Milwaukee, WI 53221-3648 | 2016-03-04 |
| 1821458811 | Kutaiba Al Ithawi | Clinic/Center | 5205 S 13th St Unit E, Milwaukee, WI 53221-3648 | 2016-03-03 |
| Find all providers with the same taxonomy | ||||
| City | BLACK EARTH |
| Zip Code | 53515 |
Please comment or provide details below to improve the information on BLACK EARTH CHIROPRACTIC LLC.
| 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.