Eric Mathew Stanenas (NPI# 1457655847, PAC ID# 0446437560) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1457655847 |
| PAC ID by PECOS | 0446437560 |
| Professional Enrollment ID | I20110526000658 |
| Full Name | Eric Mathew Stanenas |
| Organization Legal Name | PROHEALTH CHIROPRACTIC CENTER SC |
| Address |
321 Carroll St Random Lake WI 53075-1813 |
| Phone Number | 9209942000 |
| Gender | M |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2010 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 9537346655 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 321 Carroll St, Random Lake, WI 53075-1813 | 9209942000 | PROHEALTH CHIROPRACTIC CENTER SC |
| 136 N Main St, Suite 202, Thiensville, WI 53092-1606 | 2622475577 | PROHEALTH CHIROPRACTIC CENTER SC |
| Organization Legal Name | PROHEALTH CHIROPRACTIC CENTER SC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria P Fenske | Chiropractic | Prohealth Chiropractic Center Sc | 136 N Main St, Suite 202, Thiensville, WI 53092-1606 |
| James R Shelstad | Chiropractic | Prohealth Chiropractic Center Sc | 136 N Main St, Suite 202, Thiensville, WI 53092-1606 |
| Street Address |
321 CARROLL ST |
| City | RANDOM LAKE |
| State | WI |
| Zip | 53075-1813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nichole M Cruz | Optometry | 675 Wolf Rd, Random Lake, WI 53075-1264 | |
| Brenda M Veldboom | Nurse Practitioner | Aurora Medical Group Inc | 110 Butler St, Random Lake, WI 53075-1708 |
| Heidi M Huberty | Physical Therapy | Easy Living Home Health Care Agency, Inc. | 402 1st St, Random Lake, WI 53075-1772 |
| Torina R Kehoe | Occupational Therapy | Easy Living Home Health Care Agency, Inc. | 402 1st St, Random Lake, WI 53075-1772 |
| Emily E Liesener | Physical Therapy | Easy Living Home Health Care Agency, Inc. | 402 1st St, Random Lake, WI 53075-1772 |
| Jennifer L Wooten | Occupational Therapy | Easy Living Home Health Care Agency, Inc. | 402 1st St, Random Lake, WI 53075-1772 |
| Jayne Ziehm | Physical Therapy | Easy Living Home Health Care Agency, Inc. | 402 1st St, Random Lake, WI 53075-1772 |
| Genine M Ganado | Occupational Therapy | Easy Living Home Health Care Agency, Inc. | 402 1st St, Random Lake, WI 53075-1772 |
| Janine M Novak | Physical Therapy | Easy Living Home Health Care Agency, Inc. | 402 1st St, Random Lake, WI 53075-1772 |
| Laurie A Dybul | Physical Therapy | Easy Living Home Health Care Agency, Inc. | 402 1st St, Random Lake, WI 53075-1772 |
| Find all physicians in zip 53075 | |||
| City | RANDOM LAKE |
| Zip Code | 53075 |
| Specialty | CHIROPRACTIC |
| City + Specialty | RANDOM LAKE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Eric Mathew Stanenas.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.