PORT CHIROPRACTIC INC.


Address: 1000 N Wisconsin St, Port Washington, WI 53074-1285
Phone: 2622847246

PORT CHIROPRACTIC INC. (NPI# 1922299007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922299007
Entity Type Organization
Organization Name PORT CHIROPRACTIC INC.
Practice Address 1000 N Wisconsin St
Port Washington
WI 53074-1285
Practice Telephone 2622847246
Mailing Telephone 2622847246
Enumeration Date 2007-08-05
Last Update Date 2007-08-20
Authorized Official Name DR. DAVID C REIF (PRESIDENT)
Authorized Official Telephone 2622687066
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 3605-012 WI Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 38923600 05

Office Location

Street Address 1000 N WISCONSIN ST
City PORT WASHINGTON
State WI
Zip Code 53074-1285

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306950902 Celestino F Perez Dentist 1000 N Wisconsin St, Port Washington, WI 53074-1285 2006-08-19
1578935870 Individual Growth Serivces, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1000 N Wisconsin St, Suite 5, Port Washington, WI 53074-1285 2015-10-26
1801913173 Port Dental Group Sc Durable Medical Equipment & Medical Supplies 1000 N Wisconsin St, Port Washington, WI 53074-1285 2007-03-23
1548372576 David C. Reif Chiropractor 1000 N Wisconsin St, Port Washington, WI 53074-1285 2006-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962045864 Heather Kay Brede Technician 857 Ashley Avenue, Port Washington, WI 53074 2019-10-23
1780062034 Amanda Zitzer Specialist/Technologist 1037 S Spring Street, Apt 257, Port Washington, WI 53074 2015-05-07
1639507643 Kelly Mulder Occupational Therapy Assistant 138 E Prospect St, Port Washington, WI 53074 2013-10-30
1235310921 Susan Ann Dobberpuhl Occupational Therapist 306 N Sprint St, Port Washington, WI 53074 2007-11-21
1245444736 Lee B Raffel Social Worker 3632 E Norport Drive, Port Washington, WI 53074 2007-05-10
1023143708 Joshua E Leute Dentist 1317 West Grand Avenue, Port Washington, WI 53074 2007-02-22
1578633806 Robert Andrew Kortsch Dentist 457 W Grand Ave, Port Washington, WI 53074 2006-11-08
1538256409 Daniel P Witkowski Dentist 1612 N Wisconsin St, Port Washington, WI 53074 2006-10-10
1477584878 Francine L Cosner Obstetrics & Gynecology 1777 W Grand Avenue, Port Washington, WI 53074 2006-07-05
1013953926 Port Washington Podiatry Inc Podiatrist 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 2006-06-20
Find all providers in zip 53074

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861679219 Robyn P Croutch Chiropractor 12 Irma Avenue, Port Washington, NY 11050 2008-01-29
1407057144 Deborah Kleinman-cindrich Chiropractor 33 Sandy Hollow Rd, Port Washington, NY 11050-2530 2007-05-30
1538288964 Allen R Spaude Chiropractor 218 N Franklin St, Port Washington, WI 53074-1903 2007-03-28
1912025750 Michael Charles Ross Chiropractor 1454 Apple Ct, Port Washington, WI 53074-2490 2007-03-27
1962550103 Star Anthony Chiropractor 64 Beacon Hill Rd, Port Washington, NY 11050-3034 2007-01-06
1225107626 Marie T Eagan Chiropractor 20 Vanderventer Ave Ste 100e, Port Washington, NY 11050-3752 2006-11-07
1790867273 Charles A. Schnier Chiropractor 18 Haven Avenue, Suite 200, Port Washington, NY 11050-3642 2006-10-20
1275645392 Phillip L. Brooks Chiropractor 1032 S Spring St, Port Washington, WI 53074-2455 2006-08-31
1649389339 Robin Rhonda Bromberg Chiropractor 20 Vanderventer Ave, Suite 100, Port Washington, NY 11050-3752 2006-08-29
1124049929 Kathleen Jozef Chiropractor 14 Vanderventer Avenue, Suite #l3c, Port Washington, NY 11050-3737 2006-07-21
Find all providers in PORT WASHINGTON

Competitor

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City PORT WASHINGTON
Zip Code 53074

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Dataset Information

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.

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