DR. SHANE M HUBER (NPI# 1841353588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841353588 |
| Entity Type | Individual |
| Full Name | DR. SHANE M HUBER |
| Credential | D.C., A.T.C. |
| Practice Address |
19035 W Capitol Dr Ste 100 Brookfield WI 53045 |
| Mailing Address |
19035 W Capitol Dr Ste 100 Brookfield WI 53045-2755 |
| Practice Telephone | 2626956744 |
| Practice Fax Number | 2626956466 |
| Mailing Telephone | 2626956744 |
| Mailing Fax Number | 2626956466 |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2018-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4260-012 | WI | Chiropractic Providers |
| Street Address |
19035 W CAPITOL DR STE 100 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285115352 | Kyle Alan Tenboer | Physical Therapist | 19035 W Capitol Dr Ste 100, Brookfield, WI 53045-2755 | 2018-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| 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 |
|---|---|---|---|---|
| 1295378875 | Lifeclinic of Wi Sc | Chiropractor | 17585 Golf Pkwy, Brookfield, WI 53045-2948 | 2019-10-25 |
| 1811462971 | Zachary Ivan Kienol | Chiropractor | 150 S Sunny Slope Rd Ste 148, Brookfield, WI 53005-6461 | 2018-10-04 |
| 1912408246 | Adam Cosson | Chiropractor | 19575 Janacek Ct Ste 103, Brookfield, WI 53045-7101 | 2018-02-22 |
| 1699282632 | Ascent Chiropractic LLC | Chiropractor | 16620 W Bluemound Rd # 405, Brookfield, WI 53005-5966 | 2017-12-29 |
| 1790204832 | Grant Keith Radermacher | Chiropractor | 16620 W Bluemound Rd, Brookfield, WI 53005-5966 | 2017-09-10 |
| 1114453701 | Victoria Sandstrom | Chiropractor | 21150 W Capitol Dr, Suite 5, Brookfield, WI 53072-2911 | 2017-05-03 |
| 1114452091 | North Point Chiropractic LLC | Chiropractor | 21150 Capitol Dr, Suite 5, Brookfield, WI 53072-2911 | 2017-04-27 |
| 1740737519 | Steffen Mccullough | Chiropractor | 21180 W Capitol Dr Ste 3, Brookfield, WI 53072-2917 | 2016-09-08 |
| 1740652817 | Christopher Proulx | Chiropractor | 88 Garney Rd, Brookfield, NH 03872-7407 | 2015-10-28 |
| 1407235674 | Wilson Chiropractic LLC | Chiropractor | 19265 W Capitol Dr, Unit B, Brookfield, WI 53045-2740 | 2015-05-21 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
Please comment or provide details below to improve the information on DR. SHANE M HUBER.
| 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.