DR. DANIEL JOHN THIBODEAU (NPI# 1730190109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730190109 |
| Entity Type | Individual |
| Full Name | DR. DANIEL JOHN THIBODEAU |
| Credential | D.C. |
| Practice Address |
1221 E Northland Ave Appleton WI 54911-8415 |
| Practice Telephone | 9209541002 |
| Practice Fax Number | 9209541006 |
| Mailing Telephone | 9209541002 |
| Mailing Fax Number | 9209541006 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2614 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38848700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396760930 | Daniel T Thibodeau | Physician Assistant | 4092 Foxwood Dr, Virginia Beach, VA 23462-5225 | 2006-07-13 |
| Street Address |
1221 E NORTHLAND AVE |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-8415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043676596 | Daniel Handrich | Chiropractor | 1221 E Northland Ave, Appleton, WI 54911-8415 | 2016-01-13 |
| 1528241353 | Thibodeau Chiropractic, Sc | Chiropractor | 1221 E Northland Ave, Appleton, WI 54911-8415 | 2007-12-15 |
| 1538217153 | Beck Chiropractic, Sc | Chiropractor | 1221 E Northland Ave, Appleton, WI 54911-8415 | 2007-01-08 |
| 1821146424 | James Gerald Beck | Chiropractor | 1221 E Northland Ave, Appleton, WI 54911-8415 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| 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 |
|---|---|---|---|---|
| 1386297760 | Chiropractic Health of Appleton, LLC | Chiropractor | 3020 E College Ave Ste H, Appleton, WI 54915-3253 | 2019-07-24 |
| 1407232416 | Charity Millard Dc LLC | Chiropractor | 1230 W College Ave Ste C, Appleton, WI 54914-5287 | 2015-08-03 |
| 1679962161 | Stephanie Lynn Vandewettering | Chiropractor | 1620 S Lawe St Ste 2, Appleton, WI 54915-2420 | 2015-01-21 |
| 1356759369 | Darren Collin Strong | Chiropractor | 715 W Parkway Blvd, Suite C, Appleton, WI 54914-2645 | 2014-07-23 |
| 1841559028 | Well Adjusted Wellness Center LLC | Chiropractor | 612 E. Longview Dr, Suite B, Appleton, WI 54911 | 2012-05-09 |
| 1437429149 | Alex Tapplin | Chiropractor | 1901 E Capitol Dr Ste A, Appleton, WI 54911-8488 | 2012-01-11 |
| 1295004216 | Kalista A Sawyer | Chiropractor | 652 W Ridgeview Dr, Appleton, WI 54911-1254 | 2011-12-20 |
| 1336420751 | The Chiropractic Advantage LLC | Chiropractor | 645 W Ridgeview Dr, Appleton, WI 54911-1254 | 2011-08-30 |
| 1750662219 | Brent Buss | Chiropractor | 658 W Ridgeview Dr, Appleton, WI 54911-1254 | 2011-08-29 |
| 1962790410 | Abbott Family Chiropractic, S.c. | Chiropractor | 2561 E Calumet St, Appleton, WI 54915-4748 | 2011-07-19 |
| Find all providers in APPLETON | ||||
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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.