WAGNER FAMILY CHIROPRACTIC SC - NPI 1295857928 - Chiropractor in Appleton, WI

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Wagner Family Chiropractic Sc NPPES

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

WAGNER FAMILY CHIROPRACTIC SC (NPI 1295857928) is a healthcare organization registered as a chiropractor in Appleton, Wisconsin and active in the NPI registry since April 2007. The organization lists Michael Wagner, Secretary, as its authorized official.

NPPES Registry Identity

NPI1295857928

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameWAGNER FAMILY CHIROPRACTIC SC

Location AddressN110 BRUX RDAppleton, WI 54915-9439

Mailing AddressN110 Brux RdAppleton, WI 54915-9439 · (920) 968-0464 · Fax (920) 968-0482

Phone(920) 968-0464

Fax(920) 968-0482

Organization SubpartNo

Authorized OfficialMichael WagnerSecretary · (920) 968-0464

Enumeration DateApril 4, 2007

Last NPPES UpdateJune 11, 20242 updates tracked since enumeration

NPPES CertifiedJune 11, 2024

✔ NPI 1295857928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WI · 4062-012

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.

N110 BRUX RD, Appleton, WI 54915

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Other Identifiers 2

Medicaid38957300WI

Medicaid38961100WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

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