VIBRANT LIFE FAMILY CHIROPRACTIC, LLC (NPI# 1528629631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528629631 |
| Entity Type | Organization |
| Organization Name | VIBRANT LIFE FAMILY CHIROPRACTIC, LLC |
| Practice Address |
204 S Century Ave Ste A3 Waunakee WI 53597-1272 |
| Practice Telephone | 6088494464 |
| Practice Fax Number | 6088494428 |
| Mailing Telephone | 6088494464 |
| Mailing Fax Number | 6088494428 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |
| Authorized Official Name | DR. TAYLOR LEIGH BROWN (OWNER) |
| Authorized Official Telephone | 6088494464 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
204 S CENTURY AVE STE A3 |
| City | WAUNAKEE |
| State | WI |
| Zip Code | 53597-1272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083126163 | Taylor Leigh Brown | Chiropractor | 204 S Century Ave Ste A3, Waunakee, WI 53597-1272 | 2017-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841689478 | Ashley Clemens | Marriage & Family Therapist | 1108 Stephenson Ln Ste 116, Waunakee, WI 53597 | 2015-01-20 |
| 1821402595 | Gualberto Bisquera Mejia | Internal Medicine | 5936 Hogan Rd, Waunakee, WI 53597 | 2014-06-20 |
| 1972644706 | Jill M Mikkelson | Chiropractor | 1024 Quinn Drive, Waunakee, WI 53597 | 2007-02-12 |
| 1790823409 | Linda Anita Ballweg | Pharmacist | 208 Dorn Dr, Waunakee, WI 53597 | 2007-02-02 |
| 1457431611 | Phillip John Bakke | Chiropractor | 612 East Main Street, Bakke Chiropractic Clinic Sc, Waunakee, WI 53597 | 2006-10-16 |
| 1427007723 | Barbara J Schlittler | Physician Assistant | 1300 S Century Ave, Waunakee, WI 53597 | 2006-05-06 |
| 1750342051 | Curtis W Bush | Family Medicine | 208 S Century St, Waunakee, WI 53597 | 2006-03-28 |
| 1104358282 | Stonetree Therapy LLC | Marriage & Family Therapist | 1108 Stephenson Ln Ste 116, Waunakee, WI 53597 | 2017-03-29 |
| 1578862322 | Casey Thompson | Optometrist | 1300 S Century Ave, Waunakee, WI 53597 | 2011-03-18 |
| 1811020969 | Mathew Patrick Herbst | Family Medicine | 1300 S Century Ave, Waunakee, WI 53597 | 2007-03-14 |
| Find all providers in zip 53597 | ||||
| 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 |
|---|---|---|---|---|
| 1083126163 | Taylor Leigh Brown | Chiropractor | 204 S Century Ave Ste A3, Waunakee, WI 53597-1272 | 2017-10-30 |
| 1134588841 | Eric Montie | Chiropractor | 105 Baker St, Ste 1, Waunakee, WI 53597-1111 | 2016-02-23 |
| 1699081224 | Chad Gregory Updike | Chiropractor | 204 S Century Ave, Waunakee, WI 53597-1272 | 2010-08-20 |
| 1922141209 | Paula Lee | Chiropractor | 1024 Quinn Dr, Waunakee, WI 53597-2501 | 2007-02-15 |
| 1972644706 | Jill M Mikkelson | Chiropractor | 1024 Quinn Drive, Waunakee, WI 53597 | 2007-02-12 |
| 1588746184 | Karmen Feist | Chiropractor | 5440 Willow Rd Ste 106, Waunakee, WI 53597-9136 | 2006-10-20 |
| 1457431611 | Phillip John Bakke | Chiropractor | 612 East Main Street, Bakke Chiropractic Clinic Sc, Waunakee, WI 53597 | 2006-10-16 |
| 1912102963 | Thiry Family Chiropractic Sc | Chiropractor | 507 W Main St, Ste C, Waunakee, WI 53597-1114 | 2007-06-19 |
| 1043353329 | Waunakee Chiropractic, LLC | Chiropractor | 1024 Quinn Dr, Waunakee, WI 53597-2501 | 2007-02-15 |
| 1912935081 | Mark Edward Schlappi | Chiropractor | 331 E Main St, Suite 103, Waunakee, WI 53597-2428 | 2006-06-29 |
| Find all providers in WAUNAKEE | ||||
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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.