Provider Demographics
NPI:1295840957
Name:JOEL SPERLING DC LLC
Entity Type:Organization
Organization Name:JOEL SPERLING DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SPERLING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:262-728-1400
Mailing Address - Street 1:107 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:DELAVAN
Mailing Address - State:WI
Mailing Address - Zip Code:53115-1105
Mailing Address - Country:US
Mailing Address - Phone:262-728-1400
Mailing Address - Fax:262-728-1400
Practice Address - Street 1:107 N 3RD ST
Practice Address - Street 2:
Practice Address - City:DELAVAN
Practice Address - State:WI
Practice Address - Zip Code:53115-1105
Practice Address - Country:US
Practice Address - Phone:262-728-1400
Practice Address - Fax:262-728-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39588Medicare UPIN