BLUE HILLS CHIROPRACTIC LLC (NPI# 1083917926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083917926 |
| Entity Type | Organization |
| Organization Name | BLUE HILLS CHIROPRACTIC LLC |
| Practice Address |
1320 2nd Avenue Cumberland WI 54829 |
| Mailing Address |
Po Box 253 Cumberland WI 54829-0253 |
| Practice Telephone | 7158222500 |
| Practice Fax Number | 7158223388 |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2011-01-31 |
| Authorized Official Name | DR. LAURYN BRUNCLIK (OWNER) |
| Authorized Official Telephone | 7158222500 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4679-12 | WI | Chiropractic Providers |
| Street Address |
1320 2ND AVENUE |
| City | CUMBERLAND |
| State | WI |
| Zip Code | 54829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417250598 | Lauryn Elizabeth Brunclik | Chiropractor | 1320 2nd Avenue, Cumberland, WI 54829-0212 | 2010-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508100744 | Michelle Marie Miller | Licensed Practical Nurse | 2503 12th St., Cumberland, WI 54829 | 2012-11-10 |
| 1336492230 | Harriet Ailene Osumi | Occupational Therapist | 1220 Jeffery Blvd, Cumberland, WI 54829 | 2012-10-17 |
| 1497082663 | Optima Natural Health & Wellness, LLC | Chiropractor | 1320 2nd Ave, Cumberland, WI 54829 | 2009-11-10 |
| 1295982593 | Toftness Chiropractic Clinic LLC | Chiropractor | 1425 2nd Ave., Cumberland, WI 54829 | 2008-08-19 |
| 1114143740 | Heather Colleen Gaylord | Occupational Therapist | 1110 7th Street, Cumberland, WI 54829 | 2007-04-18 |
| 1598857518 | Jodi Lynne Griffith | Chiropractor | 1425 2nd Ave, Cumberland, WI 54829 | 2006-09-28 |
| 1750494449 | Lee R Jacobson Od Sc | Optometrist | 1357 Second Ave, Cumberland, WI 54829 | 2006-08-16 |
| 1649691361 | Stefanie Rinehardt | Nurse Anesthetist, Certified Registered | 1110 7th Ave, Cumberland, WI 54829 | 2013-12-23 |
| 1538389846 | Lee R Jacobson Od Sc | Eyewear Supplier (Equipment, not the service) | 1357 Second Ave, Cumberland, WI 54829 | 2007-04-27 |
| 1730233651 | Cumberland Memorial Hospital Inc | Medicare Defined Swing Bed Unit | 1110 7th Ave, Cumberland, WI 54829 | 2007-01-22 |
| Find all providers in zip 54829 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790220085 | Jessica Richards | Chiropractor | Po Box 253, Cumberland, WI 54829-0253 | 2016-12-22 |
| 1417250598 | Lauryn Elizabeth Brunclik | Chiropractor | 1320 2nd Avenue, Cumberland, WI 54829-0212 | 2010-12-13 |
| 1023348703 | Michael Jean Pepin | Chiropractor | 2 Wampum Trl, Cumberland, RI 02864-2213 | 2010-01-03 |
| 1497082663 | Optima Natural Health & Wellness, LLC | Chiropractor | 1320 2nd Ave, Cumberland, WI 54829 | 2009-11-10 |
| 1295982593 | Toftness Chiropractic Clinic LLC | Chiropractor | 1425 2nd Ave., Cumberland, WI 54829 | 2008-08-19 |
| 1407913049 | Jonathan Roger Gramolini | Chiropractor | 3770 Mendon Road, Cumberland, RI 02864 | 2007-01-02 |
| 1548323447 | Audie George Klingler | Chiropractor | 203 Greene St, Cumberland, MD 21502-2877 | 2006-12-19 |
| 1548330236 | Frances L Aragao | Chiropractor | 655 Mendon Rd, Cumberland, RI 02864-6222 | 2006-11-09 |
| 1649353038 | Thomas P Sowa | Chiropractor | 175 Nate Whipple Highway, Suite 205, Cumberland, RI 02864 | 2006-10-23 |
| 1598857518 | Jodi Lynne Griffith | Chiropractor | 1425 2nd Ave, Cumberland, WI 54829 | 2006-09-28 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 54829 |
Please comment or provide details below to improve the information on BLUE HILLS CHIROPRACTIC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.