BALDWIN CHIROPRACTIC HEALTH CENTER (NPI# 1942368634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942368634 |
Entity Type | Organization |
Organization Name | BALDWIN CHIROPRACTIC HEALTH CENTER |
Other Organization Name | DURAND CHIROPRACTIC HEALTH CENTER |
Practice Address |
319 W Main St Durand WI 54736-1148 |
Practice Telephone | 7156724699 |
Practice Fax Number | 7156724999 |
Mailing Telephone | 7156724699 |
Mailing Fax Number | 7156724999 |
Enumeration Date | 2006-12-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. DOUGLAS E JACOT (PRESIDENT) |
Authorized Official Telephone | 7156724699 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111N00000X | Chiropractor | 1496 | WI | Chiropractic Providers |
Y | 111N00000X | Chiropractor | 2850 | 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 |
---|---|---|---|---|
1912988544 | Baldwin Chiropractic Health Center | Chiropractor | 1640 10th Avenue, Baldwin, WI 54002-0002 | 2005-11-10 |
Street Address |
319 W MAIN ST |
City | DURAND |
State | WI |
Zip Code | 54736-1148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023481942 | Jerome Davis Rundall | Chiropractor | 319 W Main St, Durand, WI 54736 | 2015-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043600539 | Steven Huybrecht | Chiropractor | 319 W Main Street, Durand, WI 54736 | 2015-02-04 |
1245408095 | Kristine Kaye Bechard | Dentist | 620 7th Ave W., Durand, WI 54736 | 2008-02-14 |
1669523239 | Anton P. Mentele | Nurse Anesthetist, Certified Registered | 1200 Third Ave West, Durand, WI 54736 | 2007-01-12 |
1831124403 | Castleberg Clinic Sc | Family Medicine | 905 Seventh Ave West, Durand, WI 54736 | 2006-07-12 |
1457827859 | Chetan Agarwal | Dentist | 620 7th Ave W, Durand, WI 54736 | 2018-10-23 |
1427137348 | Durand Optometry Clinic LLC | Optometrist | 100 E Main St, Durand, WI 54736 | 2006-11-02 |
1588639371 | Tony R Morris | Optometrist | 100 E Main St, Durand, WI 54736 | 2006-02-23 |
1679720783 | Pepin County Nursing Service | Public Health or Welfare | 740 7th Ave W, Durand, WI 54736-0039 | 2008-08-20 |
1336313956 | Pepin County Office of Aging | Secured Medical Transport (VAN) | 606 W Madison St, Durand, WI 54736-1025 | 2008-04-15 |
1023166394 | L & P Nyberg LLC | Pharmacy | 520 W Main St, Durand, WI 54736-1065 | 2007-01-05 |
Find all providers in zip 54736 |
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 |
---|---|---|---|---|
1417503327 | Balanced Path, LLC | Chiropractor | 210a W Main St, Durand, WI 54736-1147 | 2019-08-15 |
1043600539 | Steven Huybrecht | Chiropractor | 319 W Main Street, Durand, WI 54736 | 2015-02-04 |
1902168305 | Durand Family Chiropractic LLC | Chiropractor | 108 N Center St, Durand, IL 61024-9756 | 2012-06-12 |
1114287877 | Amy Ruth Hershberger | Chiropractor | 108 North Center Street, Durand, IL 61024-9756 | 2012-05-29 |
1326360736 | Lisa Reiland Arkowski | Chiropractor | N5317 County Road F, Durand, WI 54736-4505 | 2010-02-26 |
1427135524 | Lawrence A Gralewski | Chiropractor | 200 N Saginaw St, Durand, MI 48429-1166 | 2006-11-01 |
1790702470 | Lawrence A Gralewski | Chiropractor | 118 N Saginaw St, Durand, MI 48429-1164 | 2006-07-17 |
1811920903 | Gregory Lee Dobson | Chiropractor | 102 W Clinton St, Durand, MI 48429-1158 | 2006-07-09 |
1023481942 | Jerome Davis Rundall | Chiropractor | 319 W Main St, Durand, WI 54736 | 2015-11-02 |
1467839746 | Trevor Deppe | Chiropractor | 115 N Center St, North Side, Durand, IL 61024-9796 | 2015-05-06 |
Find all providers in DURAND |
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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.