Provider Demographics
NPI:1194815241
Name:BINSFELD, JOHN W (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
Last Name:BINSFELD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1863 WIZARD WAY
Mailing Address - Street 2:
Mailing Address - City:DE PERE
Mailing Address - State:WI
Mailing Address - Zip Code:54115-7739
Mailing Address - Country:US
Mailing Address - Phone:920-915-5931
Mailing Address - Fax:
Practice Address - Street 1:1196 N MAYFLOWER DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54913-9656
Practice Address - Country:US
Practice Address - Phone:920-830-4552
Practice Address - Fax:920-830-4553
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4234-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor