Provider Type Icon

CARLI MARIE VANGOETHEM DC NPI 1306583687


NPI Information

NPI: 1306583687
Provider Name: CARLI MARIE VANGOETHEM, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
402 ELLIS ST
KEWAUNEE, WI
ZIP 54216
Phone: (920) 388-4499
Get Directions

Carli Marie Vangoethem, DC is a chiropractor in Kewaunee, WI with 2 years of experience. The provider is 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. Carli Marie Vangoethem, DC NPI is 1306583687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year:2022

The provider's business location address is:

402 ELLIS ST
KEWAUNEE, WI
ZIP 54216-329
Phone: (920) 388-4499

The enumeration date for this NPI number is 5/17/2022 and was last updated on 3/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor114461IOWANo
2111NN1001XChiropractorNutrition5778-12WISCONSINNo
3111NR0200XChiropractorRadiology5778-12WISCONSINNo
4111N00000XChiropractor5778-12WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.