Provider Demographics
NPI:1306220124
Name:NATURALLY ALIGNED CHIROPRACTIC & WELLNESS, LLC
Entity Type:Organization
Organization Name:NATURALLY ALIGNED CHIROPRACTIC & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KASEY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HEICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-385-5448
Mailing Address - Street 1:648 2ND AVE N
Mailing Address - Street 2:
Mailing Address - City:ONALASKA
Mailing Address - State:WI
Mailing Address - Zip Code:54650-2508
Mailing Address - Country:US
Mailing Address - Phone:608-385-5448
Mailing Address - Fax:
Practice Address - Street 1:648 2ND AVE N
Practice Address - Street 2:
Practice Address - City:ONALASKA
Practice Address - State:WI
Practice Address - Zip Code:54650-2508
Practice Address - Country:US
Practice Address - Phone:608-385-5448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-10
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5008-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100042193Medicaid
WIK400194106Medicare PIN
MNH400123753Medicare PIN