CHAIN O' LAKES CHIROPRACTIC, LLC (NPI# 1932351632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932351632 |
| Entity Type | Organization |
| Organization Name | CHAIN O' LAKES CHIROPRACTIC, LLC |
| Practice Address |
830 School St Waupaca WI 54981-1633 |
| Practice Telephone | 7152582800 |
| Practice Fax Number | 7152582885 |
| Mailing Telephone | 7152582800 |
| Mailing Fax Number | 7152582885 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2014-12-09 |
| Authorized Official Name | DR. CHAD ALAN CLOUTIER (OWNER) |
| Authorized Official Telephone | 7152582800 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
830 SCHOOL ST |
| City | WAUPACA |
| State | WI |
| Zip Code | 54981-1633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710079413 | Chad Alan Cloutier | Chiropractor | 830 School St, Waupaca, WI 54981-1633 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096141 | Renee Elizabeth Winn | Speech-Language Pathologist | 800 Riverside Drive Dr. 902 Building, Speech Therapy, Waupaca, WI 54981 | 2019-07-30 |
| 1891263216 | Stephanie Rice | Dental Hygienist | N4008 Morgan Dr, Waupaca, WI 54981 | 2018-11-03 |
| 1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
| 1366942195 | Lanna Boyle | Physical Medicine & Rehabilitation | E1132 Hillcrest Dr, Waupaca, WI 54981 | 2018-02-19 |
| 1710333893 | Thedacare Medical Center - Waupaca, Inc. | General Acute Care Hospital | N2610 Wi 22, Waupaca, WI 54981 | 2016-05-09 |
| 1750743365 | Kimberly Marie Kraeger | Counselor | Waupaca County Dhhs, 811 Harding St, Waupaca, WI 54981 | 2016-03-23 |
| 1619211596 | Kari Anna Esbensen | Counselor | N2919 Cty Qq, Waupaca, WI 54981 | 2012-11-16 |
| 1396027629 | Roots Wholistic Health | Chiropractor | 717 Churchill St., Waupaca, WI 54981 | 2011-09-13 |
| 1629387006 | Barton Jerome Blum | General Practice | E1803 Melody Lane, Waupaca, WI 54981 | 2010-10-01 |
| 1710219357 | Anne Marie Collins-reed | Social Worker | 315 River Road, New London, WI 54981 | 2010-02-08 |
| Find all providers in zip 54981 | ||||
| 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 |
|---|---|---|---|---|
| 1396027629 | Roots Wholistic Health | Chiropractor | 717 Churchill St., Waupaca, WI 54981 | 2011-09-13 |
| 1750669255 | Alyssa Christine Brooks | Chiropractor | 717 Churchill St, Waupaca, WI 54981-2016 | 2011-08-01 |
| 1518020858 | Scott R Bailey | Chiropractor | E1557 Grandview Rd, Waupaca, WI 54981-9141 | 2006-12-18 |
| 1710072418 | Stuart John Boelte | Chiropractor | 1326 Royalton St, Waupaca, WI 54981-1609 | 2006-10-04 |
| 1710079413 | Chad Alan Cloutier | Chiropractor | 830 School St, Waupaca, WI 54981-1633 | 2006-09-29 |
| 1932129996 | Jeffrey Cleve Hamel | Chiropractor | 1242 W Fulton St, Waupaca, WI 54981-8236 | 2006-07-20 |
| 1770574329 | Jean L Rice | Chiropractor | 304 S Western Ave, Waupaca, WI 54981-5703 | 2005-11-02 |
| 1609868793 | Waupaca Chiropractic Center, Inc. | Chiropractor | 700 Hillcrest Dr, Waupaca, WI 54981-1410 | 2005-08-16 |
| 1124194790 | Waupaca Chiropractic Center, Inc | Chiropractor | 304 S Western Ave, Waupaca, WI 54981-5703 | 2006-11-27 |
| 1487755021 | Miriam Joy Leean-rodenz | Chiropractor | 304 S Western Ave, Waupaca, WI 54981-5703 | 2006-09-26 |
| Find all providers in WAUPACA | ||||
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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.