VIBRANT LIFE CHIROPRACTIC LLC (NPI# 1750935920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750935920 |
| Entity Type | Organization |
| Organization Name | VIBRANT LIFE CHIROPRACTIC LLC |
| Practice Address |
1956 S Koeller St Oshkosh WI 54902-6153 |
| Practice Telephone | 9203854073 |
| Practice Fax Number | 9203851594 |
| Mailing Telephone | 9203854073 |
| Mailing Fax Number | 9203851594 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-08-22 |
| Authorized Official Name | DR. CHRISTOPHE RICHARD PURTELL (OWNER) |
| Authorized Official Telephone | 9203792639 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811434541 | Vibrant Life Chiropractic LLC | Chiropractor | 1971 E Beltline Ave Ne, Suite 126, Grand Rapids, MI 49525-7045 | 2017-01-19 |
| 1285083741 | Vibrant Life Chiropractic LLC | Clinic/Center | 2863 N Friendship Rd, Paducah, KY 42001-8605 | 2016-06-06 |
| Street Address |
1956 S KOELLER ST |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54902-6153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679088751 | Christophe Richard Purtell | Chiropractor | 1956 S Koeller St, Oshkosh, WI 54902-6153 | 2017-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688363 | Grandpa Ray's Home Care Partners LLC | In Home Supportive Care | 1755 W 7th Avenue, Oshkosh, WI 54902 | 2020-04-22 |
| 1942866314 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1212 S Koeller St, Oshkosh, WI 54902 | 2019-05-11 |
| 1508299926 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1736 W. 9th Ave., Oshkosh, WI 54902 | 2013-08-21 |
| 1881971513 | Eric D Jachthuber | Pharmacist | 950 Koeller Rd, Oshkosh, WI 54902 | 2011-11-09 |
| 1912158148 | Jennifer L Daly | Registered Nurse | 648 West 5th Avenue, Oshkosh, WI 54902 | 2008-10-07 |
| 1093873028 | Phyllis Ann Pieplow | Registered Nurse | 2307 Doty St, Oshkosh, WI 54902 | 2006-12-04 |
| 1336210939 | Juliette P M Sterkens | Audiologist | 1820 West Pointe Drive, Fox Valley Hearing Ctr Inc, Oshkosh, WI 54902 | 2006-11-13 |
| 1043266927 | Christopher S. Mcfarlane | Dentist | 1875 West Pointe Dr., Oshkosh, WI 54902 | 2006-05-25 |
| 1285688192 | Theresa Lynn Petrick Gatchell | Optometrist | 1300 S Koeller Road, Oshkosh, WI 54902 | 2006-05-22 |
| 1558329821 | Teresa M Vanaacken | Physical Therapist | 300 S Koeller Street, Suite B, Oshkosh, WI 54902 | 2006-05-03 |
| Find all providers in zip 54902 | ||||
| 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 |
|---|---|---|---|---|
| 1154929909 | Water City Care Mission, Inc. | Chiropractor | 449 High Ave., Oshkosh, WI 54901-4708 | 2020-10-14 |
| 1679088751 | Christophe Richard Purtell | Chiropractor | 1956 S Koeller St, Oshkosh, WI 54902-6153 | 2017-12-11 |
| 1174951156 | Kham Sing Xiong | Chiropractor | 1052 Witzel Ave, Oshkosh, WI 54902-5720 | 2013-10-29 |
| 1669814653 | David Donald Joseph Augustine | Chiropractor | 1210 S Koeller St, Oshkosh, WI 54902-6170 | 2013-07-19 |
| 1982829735 | Belville Fletcher Chiropractic Office Sc | Chiropractor | 440 N Koeller St, Oshkosh, WI 54902-4111 | 2007-04-16 |
| 1104945187 | Travis E Salisbury | Chiropractor | 386 S Koeller St, Oshkosh, WI 54902-5546 | 2007-03-28 |
| 1376668350 | First Chiropractic Sc | Chiropractor | 1177 S Washburn Street, Oshkosh, WI 54904-8053 | 2007-03-20 |
| 1578690640 | Peterson Chiropractic Clinic of Oshkosh, Inc | Chiropractor | 1765 Taft Ave, Oshkosh, WI 54902-3220 | 2007-02-27 |
| 1952443939 | Gauthier Chiropractic, LLC | Chiropractor | 1423 South Washburn St., Oshkosh, WI 54904 | 2007-02-13 |
| 1568503167 | Paul J Reidinger | Chiropractor | 1177 S Washburn St, Oshkosh, WI 54904-8053 | 2007-02-08 |
| Find all providers in OSHKOSH | ||||
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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.