INTEGRATIVE CHIROPRACTIC AND WELLNESS (NPI# 1881634608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881634608 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE CHIROPRACTIC AND WELLNESS |
| Practice Address |
520 Hartbrook Dr Ste H Hartland WI 53029-1405 |
| Practice Telephone | 2623697900 |
| Mailing Telephone | 2623697900 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | JONATHAN ROMEO LO (OWNER) |
| Authorized Official Telephone | 2623697900 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3876-012 | WI | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| W330n4339 Lakeland Dr, Nashotah, WI 530589798 | 2623697900 |
| Street Address |
520 HARTBROOK DR STE H |
| City | HARTLAND |
| State | WI |
| Zip Code | 53029-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195053 | Integrative Medical and Wellness, LLC | Family Medicine | 520 Hartbrook Dr Ste H, Hartland, WI 53029-1405 | 2020-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042539 | Marjorie Stuart | Technician | 2410 Hirschman Lane, Hartland, WI 53029 | 2020-01-23 |
| 1063854149 | Madeline M Walter | Dentist | 231 Lawn Street, Modern Touch Dental, Hartland, WI 53029 | 2013-07-18 |
| 1801235403 | Kelly L.m. Newman | Dentist | 139 E. Capitol Dr., Hartland, WI 53029 | 2013-06-18 |
| 1124465323 | Ascension St Francis Hospital, Inc | General Acute Care Hospital | 609 River Meadow Drive, Hartland, WI 53029 | 2013-05-28 |
| 1528313384 | Kristina Johnson | Physical Therapist | 600 Hartbrook Dr Ste 111, Hartland, WI 53029 | 2012-07-18 |
| 1578822565 | Kacie Estes Walters | Chiropractor | 1120 James Dr Ste B, Hartland, WI 53029 | 2012-05-10 |
| 1639485428 | Lisa Renae Herpolsheimer | Social Worker | W331 N9103 West Shore Drive, Hartland, WI 53029 | 2010-08-31 |
| 1063669943 | John Light Atlee Sr. | Anesthesiology | W309 N6698 Caddy Court, John L. Atlee, M.d., Hartland, WI 53029 | 2008-08-22 |
| 1598947053 | Merton Community School District | Local Education Agency (LEA) | W28320 Sussex Road, Hartland, WI 53029 | 2007-11-27 |
| 1407057441 | George Chris Panos | Dentist | N 67 W 31027 Club Circle East, Hartland, WI 53029 | 2007-05-29 |
| Find all providers in zip 53029 | ||||
| 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 |
|---|---|---|---|---|
| 1578822565 | Kacie Estes Walters | Chiropractor | 1120 James Dr Ste B, Hartland, WI 53029 | 2012-05-10 |
| 1144592510 | Forward Chiropractic LLC | Chiropractor | 540 Hartbrook Dr Ste B, Hartland, WI 53029-1400 | 2012-02-01 |
| 1780956367 | Seth Andrew Barr | Chiropractor | 3037 Village Square Dr, Hartland, WI 53029-8359 | 2012-01-30 |
| 1093044133 | Benjamin Alan Luczak | Chiropractor | N68w28550 Sussex Rd, Suite 2, Hartland, WI 53029-9630 | 2009-12-21 |
| 1942458401 | Hans J Halaska | Chiropractor | 365 Cottonwood Ave, Suite A, Hartland, WI 53029-2048 | 2008-09-08 |
| 1114195393 | Jeremy J Rosner | Chiropractor | 11202 Highland Rd, Hartland, MI 48353-2704 | 2008-02-11 |
| 1558404384 | Robert A Carignan | Chiropractor | 192 Commercial St, Hartland, ME 04943 | 2007-02-14 |
| 1861546335 | Duane David Jarchow | Chiropractor | 510 Hartbrook Dr, Hartland, WI 53029-1440 | 2007-01-22 |
| 1053343756 | Traci Wall | Chiropractor | 864 Rose Dr, Hartland, WI 53029-8317 | 2006-07-06 |
| 1770522336 | Jonathan Romeo Lo | Chiropractor | 520 Hartbrook Dr, Suite H, Hartland, WI 53029-1402 | 2006-06-06 |
| Find all providers in HARTLAND | ||||
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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.