WAUKESHA CHIROPRACTIC & REHAB NPI 1386677409

NPI Information

NPI: 1386677409
Provider Name: WAUKESHA CHIROPRACTIC & REHAB
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
628 W MORELAND BLVD
WAUKESHA, WI
ZIP 53188
Phone: (262) 650-0701
Get Directions

WAUKESHA CHIROPRACTIC & REHAB is a chiropractor in Waukesha, WI. 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. WAUKESHA CHIROPRACTIC & REHAB NPI is 1386677409. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

628 W MORELAND BLVD
WAUKESHA, WI
ZIP 53188-433
Phone: (262) 650-0701
Fax: (262) 522-9858

The provider's authorized official is Andrew Wayne Treutelaar .
The authorized official title is Buissness Owner and has the following contact phone number (262) 650-0701.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		4001-012	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	38954700	MEDICAID	WISCONSIN
2	393686017002	OTHER	WISCONSIN	BCBS PROVIDER NUMBER

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: 5/5/2024

NPI Synchronization or Removal

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