JEROME ALLAN FAGERSTROM DC
NPI 1205852738
Chiropractor in Beloit, WI

Q: What is Jerome Fagerstrom's NPI number?

The NPI number for Jerome Fagerstrom is 1205852738. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Q: What is Jerome Fagerstrom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jerome Fagerstrom was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 15, 2006

654 BLUFF ST, BELOIT, WI 53511(608) 362-7652(608) 362-7296 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jerome Allan Fagerstrom Dc NPPES

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

JEROME ALLAN FAGERSTROM DC (NPI 1205852738) is an individual chiropractor in Beloit, Wisconsin, licensed in Wisconsin (3406) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1205852738

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameJEROME ALLAN FAGERSTROMCredential: DC

Location Address654 BLUFF STBeloit, WI 53511-6156

Mailing Address654 Bluff StBeloit, WI 53511-6156 · (608) 362-7652 · Fax (608) 362-7296

Phone(608) 362-7652

Fax(608) 362-7296

Sole ProprietorNo

Enumeration DateJuly 15, 2006

Last NPPES UpdateDecember 10, 2015

✔ NPI 1205852738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WI · 3406

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.

654 BLUFF ST, Beloit, WI 53511

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Other Identifiers 3

Medicare ID-Type Unspecified000136000WI

Medicaid38899100WI

Medicare UPINT66553WI

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.

VINCENT JOSEPH HOPE D.C.

Chiropractor

654 BLUFF ST
BELOIT, WI 53511

Rock County (608) 362-7652

CHIROPRACTIC CARE CENTER, LLC

Chiropractor

654 BLUFF ST
BELOIT, WI 53511

Rock County (608) 207-3072

CHIROPRACTIC CARE CENTER OF BELOIT, SC

Chiropractor

654 BLUFF ST
BELOIT, WI 53511

Rock County (608) 362-7652

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 Jerome Fagerstrom's NPI number?

The NPI number for Jerome Fagerstrom is 1205852738. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Jerome Fagerstrom located?

Jerome Fagerstrom practices at 654 Bluff St, Beloit, WI 53511. The listed phone number is (608) 362-7652.

What is Jerome Fagerstrom'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 Jerome Fagerstrom was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.