LAKE GENEVA CHIROPRACTIC PARTNERS NPI 1407946254

NPI Information

  • NPI: 1407946254
  • Provider Name: LAKE GENEVA CHIROPRACTIC PARTNERS
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 612 S WELLS ST
    SUITE C
    LAKE GENEVA, WI
    ZIP 53147
  • Phone: (262) 248-8177

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NPI Details

LAKE GENEVA CHIROPRACTIC PARTNERS is a chiropractor in Lake Geneva, 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. LAKE GENEVA CHIROPRACTIC PARTNERS NPI is 1407946254. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

612 S WELLS ST
SUITE C
LAKE GENEVA, WI
ZIP 53147-159
Phone: (262) 248-8177
Fax: (262) 248-6393

The provider's authorized official is Jeffrey Gene Buntrock .
The authorized official title is Owner/doctor and has the following contact phone number (262) 248-8177.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 7/16/2025.

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
1111N00000XChiropractor2834-012WISCONSINYes

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
138863200MEDICAIDWISCONSIN

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: 11/21/2025

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