EARLY CLINIC OF CHIROPRACTIC LLC (NPI# 1922207612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922207612 |
Entity Type | Organization |
Organization Name | EARLY CLINIC OF CHIROPRACTIC LLC |
Practice Address |
1211 Rickmeyer Dr Fond Du Lac WI 54937-2213 |
Practice Telephone | 9203229594 |
Practice Fax Number | 9203229676 |
Mailing Telephone | 9203229594 |
Mailing Fax Number | 9203229676 |
Enumeration Date | 2007-07-13 |
Last Update Date | 2008-04-20 |
Authorized Official Name | DR. JAMES ANDREW EARLY (OWNER) |
Authorized Official Telephone | 9203229594 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 38950600 | 05 |
Street Address |
1211 RICKMEYER DR |
City | FOND DU LAC |
State | WI |
Zip Code | 54937-2213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386785574 | James A Early | Chiropractor | 1211 Rickmeyer Dr, Fond Du Lac, WI 54937-2213 | 2007-02-09 |
1962885533 | Carla Gunnink | Hearing Instrument Specialist | 1211 Rickmeyer Dr, Suite Cc, Fond Du Lac, WI 54937-2213 | 2015-07-01 |
1376731018 | Matt Hellmer | Hearing Instrument Specialist | 1211 Rickmeyer Dr, Suite Cc, Fond Du Lac, WI 54937-2213 | 2007-10-09 |
1922291095 | Rachel Rae Bending | Audiologist | 1211 Rickmeyer Dr, Ste. Cc, Fond Du Lac, WI 54937-2213 | 2007-08-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710523774 | Lisa Diane Brown | Social Worker | W3950 Wi-23 Trunk, Fond Du Lac, WI 54937 | 2019-11-25 |
1538700083 | Kristine Karpen | Technician | 1812 Thurke Ave, North Fond Du Lac, WI 54937 | 2019-10-07 |
1962719245 | James Hugh Rupple | Ophthalmology | W4410 Mary Hill Park, Fond Du Lac, WI 54937 | 2010-09-08 |
1467591131 | Rosonna Sue Comers | Social Worker | N6687 Wrightway Dr, Ste D, Fond Du Lac, WI 54937 | 2007-02-06 |
1487731741 | Daniel James Kierstead | Optometrist | 377 N Rollings Meadows Dr, Fond Du Lac, WI 54937 | 2006-11-01 |
1528519758 | Betty Xiong | Physician Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2016-10-24 |
1598112963 | Jennifer M Halbach | Nurse Practitioner | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2016-05-16 |
1548667231 | Tanya Watry | Physician Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2014-11-25 |
1578813606 | Joline Brotzman | Nurse Practitioner | 700 Park Ridge Ln, North Fond Du Lac, WI 54937 | 2012-09-17 |
1306085998 | Forefront Dermatology, S.c. | Dermatology | 111 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2009-02-05 |
Find all providers in zip 54937 |
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 |
---|---|---|---|---|
1790278695 | Fond Du Lac Family Chiropractic LLC | Chiropractor | 924 Forest Ave Ste 101, Fond Du Lac, WI 54935-3808 | 2018-06-14 |
1154594059 | Moxon Chiropractic, S.c. | Chiropractor | 93 S Pioneer Rd, 200, Fond Du Lac, WI 54935-3873 | 2008-04-11 |
1639351026 | Ideal Chiropractic of Fond Du Lac LLC | Chiropractor | 976 E Johnson St Ste 900, Fond Du Lac, WI 54935-9747 | 2007-11-28 |
1437289972 | Richard Lee Moxon | Chiropractor | 93 S Pioneer Rd Ste 200, Fond Du Lac, WI 54936-1776 | 2007-03-06 |
1346385499 | Bret Zachary Johnson | Chiropractor | 195 East 14th St, Fond Du Lac, WI 54936-1451 | 2007-02-20 |
1407991573 | Timothy Johnson | Chiropractor | 195 East 14th St., Fond Du Lac, WI 54936-1451 | 2007-02-20 |
1386785574 | James A Early | Chiropractor | 1211 Rickmeyer Dr, Fond Du Lac, WI 54937-2213 | 2007-02-09 |
1063589505 | Jessica L Serwe | Chiropractor | 976 E Johnson St, Suite 900, Fond Du Lac, WI 54935-9746 | 2006-11-29 |
1174629026 | Vickie L Goldapske | Chiropractor | 952 South Park Avenue, Fond Du Lac, WI 54935 | 2006-09-16 |
1265464192 | Daniel Dean Farina | Chiropractor | 85 N Pioneer Rd, Fond Du Lac, WI 54935-9400 | 2006-07-07 |
Find all providers in FOND DU LAC |
City | FOND DU LAC |
Zip Code | 54937 |
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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.