FONTANA FAMILY CHIROPRACTIC
NPI 1306045315
Chiropractor in Fontana, WI

Active since July 11, 2007
450 MILL ST, SUITE 102, FONTANA, WI 53125(262) 275-5005 Get Directions Write a Review

NPPES record last updated: December 30, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fontana Family Chiropractic NPPES

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

FONTANA FAMILY CHIROPRACTIC (NPI 1306045315) is a healthcare organization registered as a chiropractor in Fontana, Wisconsin and active in the NPI registry since July 2007. The organization lists Jeremy Logan Bria, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1306045315
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJLB,INC
Location Address450 MILL ST, SUITE 102Fontana, WI 53125-1242
Mailing Address450 Mill St, Suite 102Fontana, WI 53125-1242 · (262) 275-5005 · Fax (262) 275-5004
Organization SubpartNo
Authorized OfficialJeremy Logan BriaChiropractor · (262) 325-7195
Enumeration DateJuly 11, 2007
Last NPPES UpdateDecember 30, 2013
NPI 1306045315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 4188-012
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.

450 MILL ST, Fontana, WI 53125

Other Names 1

Doing Business AsFontana Family Chiropractic

Other Identifiers 2

Other000054027Medicare
Medicaid38966200WI

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

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.

Chiropractor
450 MILL ST, SUITE 102
FONTANA, WI 53125
Dentist (General Practice)
450 MILL ST, SUITE 101
FONTANA, WI 53125
Chiropractor
450 MILL ST
FONTANA, WI 53125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306045315, enumerated as an "organization" on July 11, 2007.

The provider is located at 450 MILL ST SUITE 102 FONTANA, WI 53125 and the phone number is (262) 275-5005.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.