CHIPPEWA VALLEY NEUROSCIENCES,LLC (NPI# 1306987771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306987771 |
| Entity Type | Organization |
| Organization Name | CHIPPEWA VALLEY NEUROSCIENCES,LLC |
| Practice Address |
950 W Clairemont Ave Suite B Eau Claire WI 54701-6176 |
| Practice Telephone | 7158310811 |
| Practice Fax Number | 7158310802 |
| Mailing Telephone | 7158310811 |
| Mailing Fax Number | 7158310802 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2010-04-28 |
| Authorized Official Name | DR. JON P KONZEN (OWNER) |
| Authorized Official Telephone | 7158310811 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
37138021 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30067800 | 05 |
| Street Address |
950 W CLAIREMONT AVE SUITE B |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-6176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609988310 | Jon P Konzen | Psychiatry & Neurology | 950 W Clairemont Ave, Suite B, Eau Claire, WI 54701-6176 | 2006-08-31 |
| 1265977946 | St. Joseph's Hospital of The Hospital Sisters of The 3rd Order of St F | Clinic/Center | 950 W Clairemont Ave, Suite 3b, Eau Claire, WI 54701-6192 | 2017-01-04 |
| 1326441841 | Chippewa Valley Neuromonitoring, LLC | Psychiatry & Neurology | 950 W Clairemont Ave, Eau Claire, WI 54701-6192 | 2014-09-29 |
| 1750629408 | Ihc-wound Care Services LLC | Emergency Medicine | 950 W Clairemont Ave, Eau Claire, WI 54701-6192 | 2013-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609988310 | Jon P Konzen | Psychiatry & Neurology | 950 W Clairemont Ave, Suite B, Eau Claire, WI 54701-6176 | 2006-08-31 |
| 1326441841 | Chippewa Valley Neuromonitoring, LLC | Psychiatry & Neurology | 950 W Clairemont Ave, Eau Claire, WI 54701-6192 | 2014-09-29 |
| 1508184755 | Scott D Spritzer | Psychiatry & Neurology | 1221 Whipple St, Eau Claire, WI 54703 | 2010-05-12 |
| 1538358098 | Leonardo G Fugoso Jr. | Psychiatry & Neurology | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2007-10-22 |
| 1629179221 | Sharat Ahluwalia | Psychiatry & Neurology | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2006-09-26 |
| 1073532396 | Anna W Cothron | Psychiatry & Neurology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-07-18 |
| 1962453704 | Adriana A Kori | Psychiatry & Neurology | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2006-05-15 |
| 1013980838 | David Andrew Nye | Psychiatry & Neurology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-02-10 |
| 1639142623 | Rae Richard Hanson | Psychiatry & Neurology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-02-09 |
| 1093788515 | Donn David Dexter | Psychiatry & Neurology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-02-08 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
Please comment or provide details below to improve the information on CHIPPEWA VALLEY NEUROSCIENCES,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.