JOE THOMAS LUTZ (NPI# 1932573821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932573821 |
| Entity Type | Individual |
| Full Name | JOE THOMAS LUTZ |
| Credential | DC |
| Practice Address |
2150 Chestnut St West Bend WI 53095-2908 |
| Practice Telephone | 2623345431 |
| Mailing Telephone | 2623345431 |
| Mailing Fax Number | 2623356481 |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5134-12 | WI | Chiropractic Providers |
| Street Address |
2150 CHESTNUT ST |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| 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 |
|---|---|---|---|---|
| 1447520978 | Korie Lee Schofield | Chiropractor | 820 E Paradise Dr, West Bend, WI 53095-5383 | 2011-12-30 |
| 1437469400 | Mushin Pllc | Chiropractor | 820 East Paradise Drive, West Bend, WI 53095 | 2010-10-08 |
| 1922297852 | Krysti K Wick | Chiropractor | 705 Village Green Way, Suite 105, West Bend, WI 53090-2527 | 2007-10-16 |
| 1437277787 | Mccormack Chiropractic Sc | Chiropractor | 519 Shepherds Dr, West Bend, WI 53090-8488 | 2007-03-26 |
| 1780740308 | Jenni Haak | Chiropractor | 1305 Chestnut St Stop 3, West Bend, WI 53095-3060 | 2006-12-28 |
| 1790846673 | James Robert Lutz | Chiropractor | 2150 Chestnut Street, West Bend, WI 53095-2908 | 2006-12-13 |
| 1366510133 | Richard Lee Horaitis | Chiropractor | 1216 N 8th Ave, West Bend, WI 53090-1804 | 2006-12-01 |
| 1356412589 | Bruce Kevin Platta | Chiropractor | 235 N 18th Ave, West Bend, WI 53095-3059 | 2006-11-10 |
| 1649340605 | Jillian Jan Hansen | Chiropractor | 323 South Broadway, West Bend, IA 50597-0297 | 2006-11-08 |
| 1669556601 | Michelle Lee Mccormack | Chiropractor | 519 Shepherds Drive, West Bend, WI 53090 | 2006-10-25 |
| Find all providers in WEST BEND | ||||
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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.