IDEAL CHIROPRACTIC OF FOND DU LAC LLC
NPI 1639351026
Chiropractor in Fond Du Lac, WI

Q: What is Ideal Chiropractic Of Fond Du Lac LLC's specialty?

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

Active since November 28, 2007

976 E JOHNSON ST STE 900, FOND DU LAC, WI 54935(920) 907-1700(920) 907-1708 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ideal Chiropractic Of Fond Du Lac Llc NPPES

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

IDEAL CHIROPRACTIC OF FOND DU LAC LLC (NPI 1639351026) is a healthcare organization registered as a chiropractor in Fond Du Lac, Wisconsin and active in the NPI registry since November 2007. The organization lists Jessica Lynn Rodriguez, Doctor Of Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1639351026

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameIDEAL CHIROPRACTIC OF FOND DU LAC LLC

Location Address976 E JOHNSON ST STE 900Fond Du Lac, WI 54935-9747

Mailing Address976 E Johnson St Ste 900Fond Du Lac, WI 54935-9747 · (920) 907-1700 · Fax (920) 907-1708

Phone(920) 907-1700

Fax(920) 907-1708

Organization SubpartNo

Authorized OfficialJessica Lynn RodriguezDoctor Of Chiropractic · (920) 907-1700

Enumeration DateNovember 28, 2007

✔ NPI 1639351026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WI · 4174-012

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.

976 E JOHNSON ST STE 900, Fond Du Lac, WI 54935

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Other Identifiers 2

Medicare UPINV07773WI

Other1063589505WI · Individual Npi

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 2

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

REBECCA VANDERLOOP

Massage Therapist

976 E JOHNSON ST STE 900
FOND DU LAC, WI 54935

Fond Du Lac County (920) 539-8289

NO KNOTS THERAPEUTIC MASSAGE

Massage Therapist

976 E JOHNSON ST STE 900
FOND DU LAC, WI 54935

Fond Du Lac County (920) 539-8289

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 Ideal Chiropractic Of Fond Du Lac LLC's NPI number?

The NPI number for Ideal Chiropractic Of Fond Du Lac LLC is 1639351026. It was assigned to this organization in the NPPES registry on November 28, 2007.

Where is Ideal Chiropractic Of Fond Du Lac LLC located?

Ideal Chiropractic Of Fond Du Lac LLC is located at 976 E Johnson St Ste 900, Fond Du Lac, WI 54935. The listed phone number is (920) 907-1700.

What is Ideal Chiropractic Of Fond Du Lac LLC'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 Ideal Chiropractic Of Fond Du Lac LLC was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.