BALDWIN CHIROPRACTIC HEALTH CENTER (NPI# 1912988544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912988544 |
| Entity Type | Organization |
| Organization Name | BALDWIN CHIROPRACTIC HEALTH CENTER |
| Other Organization Name | DURAND CHIROPRACTIC HEALTH CENTER |
| Practice Address |
1640 10th Avenue Baldwin WI 54002-0002 |
| Mailing Address |
Po Box 2 Baldwin WI 54002-0002 |
| Practice Telephone | 7156843344 |
| Practice Fax Number | 7156843345 |
| Mailing Telephone | 7156843344 |
| Mailing Fax Number | 7156843345 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DOUGLAS EARL JACOT (PRESIDENT) |
| Authorized Official Telephone | 7156843344 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1496 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38758200 | 05 | |
| WI | 38864500 | 05 |
| Other Name | Type Code |
|---|---|
| Durand Chiropractic Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942368634 | Baldwin Chiropractic Health Center | Chiropractor | 319 W Main St, Durand, WI 54736-1148 | 2006-12-05 |
| Street Address |
1640 10TH AVENUE |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477099026 | Nichole Mattison | Radiologic Technologist | 1180 Oak St, Baldwin, WI 54002 | 2017-01-06 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1538114079 | Village of Baldwin | Ambulance | 630 Highway 12, Baldwin, WI 54002 | 2006-05-23 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1720599673 | Karli Rae Kerrschneider | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002 | 2017-10-18 |
| 1730446477 | Brittany Beeson | Family Medicine | 1100 Bergslien St, Baldwin, WI 54002 | 2012-04-19 |
| Find all providers in zip 54002 | ||||
| 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 |
|---|---|---|---|---|
| 1548539133 | Carl Douglas Little Jr. | Chiropractor | 386 Highway 441 Byp, Baldwin, GA 30511-1807 | 2011-12-28 |
| 1306980917 | Jeffrey Alan Finkelstein | Chiropractor | 536 Fairview Ave, Baldwin, NY 11510-3705 | 2007-02-16 |
| 1396899720 | Kurt Daniel York | Chiropractor | 386 Hwy 441 By Pass, Baldwin, GA 30511-1807 | 2007-01-23 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1780750109 | Esther Jimenez | Chiropractor | 818 Merrick Rd, Baldwin, NY 11510 | 2006-11-28 |
| 1770659286 | Grant Warren Hutchins | Chiropractor | 990 Hillcrest St, #105, Baldwin, WI 54002-9248 | 2006-11-27 |
| 1770653602 | Teri L Adams | Chiropractor | 1640 Tenth Ave., Baldwin, WI 54002-0002 | 2006-11-08 |
| 1265502512 | Michael Guerriere | Chiropractor | 3209 Milburn Ave, Baldwin, NY 11510-4932 | 2006-11-08 |
| 1982790952 | Glenn Rosenberg | Chiropractor | 974 Atlantic Ave, Baldwin, NY 11510-4253 | 2006-10-05 |
| 1083708846 | William Samuel Thatcher | Chiropractor | 1050 Atlantic Ave, Baldwin, NY 11510-4201 | 2006-10-03 |
| Find all providers in BALDWIN | ||||
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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.