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FENANDER CHIROPRACTIC OFFICE S.C. NPI 1760541767


NPI Information

NPI: 1760541767
Provider Name: FENANDER CHIROPRACTIC OFFICE S.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2100 7TH ST S
WISCONSIN RAPIDS, WI
ZIP 54494
Phone: (715) 421-2200
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FENANDER CHIROPRACTIC OFFICE S.C. is a chiropractor in Wisconsin Rapids, 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. FENANDER CHIROPRACTIC OFFICE S.C. NPI is 1760541767. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2100 7TH ST S
WISCONSIN RAPIDS, WI
ZIP 54494-017
Phone: (715) 421-2200
Fax: (715) 421-2916

The provider's authorized official is Laura J Fenander .
The authorized official title is Vice President and has the following contact phone number (715) 421-2200.

The enumeration date for this NPI number is 12/6/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor1214-012WISCONSINNo
2111N00000XChiropractor3812-012WISCONSINNo
3111N00000XChiropractor1685-012WISCONSINNo
4111N00000XChiropractor2537-012WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
138770600MEDICAIDWISCONSIN
238809500MEDICAIDWISCONSIN
3394568499005OTHERWISCONSINM.F.LADICK,D.C. BC#
41992775076OTHERWISCONSINM.F.LADICK,D.C. NPI#
51104896869OTHERWISCONSINM.A.FENANDER,D.C. NPI
61710957881OTHERWISCONSINL. J. FENANDER, D.C. NPI#
7387728664005OTHERWISCONSINL.J.FENANDER,D.C. BC#
838844700MEDICAIDWISCONSIN
91295705366OTHERWISCONSINNATIONAL PROVIDER ID
10387728809001OTHERWISCONSINM.A.FENANDER,D.C. BC#
1138935700MEDICAIDWISCONSIN
12388343467006OTHERWISCONSINA.V.FENANDER,D.C. BC#

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

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