Provider Demographics
NPI:1245395805
Name:SCHARER, JUSTIN GALEN (DC)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:GALEN
Last Name:SCHARER
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 1:3510 W STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401
Mailing Address - Country:US
Mailing Address - Phone:715-848-2710
Mailing Address - Fax:715-848-2712
Practice Address - Street 1:3510 W STEWART AVE
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401
Practice Address - Country:US
Practice Address - Phone:715-848-2710
Practice Address - Fax:715-848-2710
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4046012111N00000X
246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI000235626Medicare ID - Type Unspecified