IDEAL CHIROPRACTIC NPI 1659551547

NPI Information

  • NPI: 1659551547
  • Provider Name: IDEAL CHIROPRACTIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 321 CARROLL STREET
    RANDOM LAKE, WI
    ZIP 53075
  • Phone: (920) 994-2000

Map and Directions

Get Directions

NPI Details

IDEAL CHIROPRACTIC is a chiropractor in Random Lake, 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. IDEAL CHIROPRACTIC NPI is 1659551547. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

321 CARROLL STREET
RANDOM LAKE, WI
ZIP 53075-795
Phone: (920) 994-2000
Fax: (920) 994-4953

The provider's authorized official is Jennifer Mills .
The authorized official title is Owner and has the following contact phone number (920) 994-2000.

The enumeration date for this NPI number is 11/7/2007 and was last updated on 11/7/2007.

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
1111N00000XChiropractor4044012WISCONSINYes

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI