SCOLIOSIS CENTER OF LA CROSSE, LLC (NPI# 1487062881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487062881 |
Entity Type | Organization |
Organization Name | SCOLIOSIS CENTER OF LA CROSSE, LLC |
Practice Address |
1526 Rose St Suite 101 La Crosse WI 54603-2245 |
Practice Telephone | 6083869328 |
Practice Fax Number | 6087835426 |
Mailing Telephone | 6083869328 |
Mailing Fax Number | 6087835426 |
Enumeration Date | 2014-07-29 |
Last Update Date | 2014-07-29 |
Authorized Official Name | DR. BENJAMIN JOHN BREIDENBACH (OWNER) |
Authorized Official Telephone | 6083869328 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 367612 | WI | Chiropractic Providers |
Street Address |
1526 ROSE ST SUITE 101 |
City | LA CROSSE |
State | WI |
Zip Code | 54603-2245 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548264989 | Jeffrey W Mueller | Physician Assistant | 1526 Rose St, La Crosse, WI 54603-2245 | 2005-06-13 |
1447865142 | Marissa Pederson | Nurse Practitioner | 1526 Rose St, La Crosse, WI 54603-4500 | 2020-09-10 |
1881230548 | Lori Ann Miskell | Nurse Practitioner | 1526 Rose St, La Crosse, WI 54603-4500 | 2019-11-18 |
1851521884 | Katie R Stewart | Physician Assistant | 1526 Rose St, La Crosse, WI 54603-2245 | 2009-07-24 |
1003987652 | Breidenbach Family and Sports Chiropractic Inc | Chiropractor | 1526 Rose St, La Crosse, WI 54603-4500 | 2006-11-13 |
1578504692 | Jeffrey F Menn | Family Medicine | 1526 Rose St, La Crosse, WI 54603-2245 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215581855 | Sophia Buchda | Behavior Technician | 901 Caledonia Street, La Crosse, WI 54603 | 2019-08-01 |
1891142865 | Hha of Wisconsin, LLC | Home Health | 2400 Rose St Ste 14, La Crosse, WI 54603 | 2016-05-19 |
1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
1982986345 | Christopher W Hutchinson | Pharmacist | 2626 Rose Street, La Crosse, WI 54603 | 2011-09-12 |
1932284494 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 3800 State Road 16, La Crosse, WI 54603 | 2006-10-25 |
1083618722 | Teddy Leonard Thompson | Family Medicine | 1526 Rose Street, La Crosse, WI 54603 | 2005-06-10 |
1518459155 | Alexis Ericson | Occupational Therapy Assistant | 901 Caledonia St, La Crosse, WI 54603 | 2018-05-30 |
1578925046 | Vicki Lynne Iverson | Registered Nurse | 1407 St. Andrew St., La Crosse, WI 54603 | 2016-03-24 |
1194158865 | John Patrick Smieja | Pharmacist | 2400 Rose St, La Crosse, WI 54603 | 2013-08-16 |
1275726663 | Jacqueline Berry Newcomb | Case Manager/Care Coordinator | 1407 St Andrew St, Suite 100 Lacrosse Co Human Services, La Crosse, WI 54603 | 2007-08-20 |
Find all providers in zip 54603 |
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 |
---|---|---|---|---|
1053878223 | Andrew Markworth | Chiropractor | 2837 Darling Ct, La Crosse, WI 54601-2754 | 2019-02-25 |
1720452030 | Pomranke Inc | Chiropractor | 4535 Mormon Coulee Rd, Ste 3, La Crosse, WI 54601-8232 | 2015-11-24 |
1902144454 | Midwest Chiropractic Associates, S.c. | Chiropractor | 1022 19th St S, La Crosse, WI 54601-5811 | 2013-01-17 |
1952604670 | Corey Lee Pomranke | Chiropractor | 4535 Mormon Coulee Rd 3, La Crosse, WI 54601-8222 | 2010-12-20 |
1558671248 | Women's Way Chiropractic, LLC | Chiropractor | 205 5th Ave S, La Crosse, WI 54601-9202 | 2010-10-14 |
1043332232 | Johnson Chiropractic, Inc | Chiropractor | 4435 Mormon Coulee Rd, La Crosse, WI 54601-8220 | 2007-04-06 |
1386792018 | Mind and Spine, LLC | Chiropractor | 402 6th St S, La Crosse, WI 54601-4505 | 2007-01-08 |
1982768859 | Linda L Lorenz | Chiropractor | 432 Cass St, La Crosse, WI 54601-4508 | 2006-12-21 |
1902960511 | Wulf Chiropractic, LLC | Chiropractor | 402 South 6th Street, La Crosse, WI 54601-4505 | 2006-12-20 |
1003975038 | Coulee Chiropractic Clinic, S.c. | Chiropractor | 600 3rd St N, Suite 201, La Crosse, WI 54601-6299 | 2006-12-06 |
Find all providers in LA CROSSE |
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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.