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IDEAL CHIROPRACTIC
NPI 1659551547
Chiropractor in Random Lake, WI

Active since November 07, 2007
321 CARROLL STREET, RANDOM LAKE, WI 53075(920) 994-2000(920) 994-4953 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ideal Chiropractic NPPES

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

IDEAL CHIROPRACTIC (NPI 1659551547) is a healthcare organization registered as a chiropractor in Random Lake, Wisconsin and active in the NPI registry since November 2007. The organization lists Jennifer Mills, Owner, as its authorized official.

NPPES Registry Identity

NPI1659551547
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameIDEAL CHIROPRACTIC
Location Address321 CARROLL STREETRandom Lake, WI 53075-1795
Mailing AddressPo Box 196, 321 Carroll StreetRandom Lake, WI 53075-1795 · (920) 994-2000 · Fax (920) 994-4953
Phone(920) 994-2000
Fax(920) 994-4953
Organization SubpartNo
Authorized OfficialJennifer MillsOwner · (920) 994-2000
Enumeration DateNovember 7, 2007
✔ NPI 1659551547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 4044012
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.

321 CARROLL STREET, Random Lake, WI 53075
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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

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's NPI number?

The NPI number for Ideal Chiropractic is 1659551547. It was assigned to this organization in the NPPES registry on November 7, 2007.

Where is Ideal Chiropractic located?

Ideal Chiropractic is located at 321 Carroll Street, Random Lake, WI 53075. The listed phone number is (920) 994-2000.

What is Ideal Chiropractic'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 was last updated on November 7, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.