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DR. CARISSA MARIE JAECKS D.C.
NPI 1104133867
Chiropractor in New London, WI

Active since September 01, 2010
1620 N SHAWANO ST, STE E, NEW LONDON, WI 54961(920) 982-5533 Get Directions Write a Review

NPPES record last updated: December 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carissa Marie Jaecks D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARISSA MARIE JAECKS D.C. (NPI 1104133867) is an individual chiropractor in New London, Wisconsin, licensed in Wisconsin (4599-12) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1104133867
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. CARISSA MARIE JAECKSCredential: D.C.
Location Address1620 N SHAWANO ST, STE ENew London, WI 54961-9318
Mailing Address702 Eisenhower Dr, Ste GKimberly, WI 54136-2152 · (715) 281-4179
Phone(920) 982-5533
Sole ProprietorNo
Enumeration DateSeptember 1, 2010
Last NPPES UpdateDecember 1, 2017
✔ NPI 1104133867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 4599-12
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.
1620 N SHAWANO ST, New London, WI 54961
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Other Names 1

Other Name (5)Mrs. Carissa Marie Jaecks Reese

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOREFRONT DERMATOLOGY, S.C.
Dermatology
1620 N SHAWANO ST, SUITE C
NEW LONDON, WI 54961
Waupaca County (920) 982-3870
ORTHOPEDIC & SPINE THERAPY OF NEW LONDON, SC
Durable Medical Equipment & Medical Supplies
1620 N SHAWANO ST
NEW LONDON, WI 54961
Waupaca County (920) 982-3670
PAMELA J. ST. CLAIR P.T.
Physical Therapist
1620 N SHAWANO ST
NEW LONDON, WI 54961
Waupaca County (920) 982-3670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carissa Jaecks's NPI number?

The NPI number for Carissa Jaecks is 1104133867. It was assigned to this individual provider in the NPPES registry on September 1, 2010. The provider is also known as Mrs. Carissa Marie Jaecks Reese.

Where is Carissa Jaecks located?

Carissa Jaecks practices at 1620 N Shawano St Ste E, New London, WI 54961. The listed phone number is (920) 982-5533.

What is Carissa Jaecks's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Carissa Jaecks was last updated on December 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.