Provider Demographics
NPI:1417167115
Name:CHIRO-MED,SC
Entity Type:Organization
Organization Name:CHIRO-MED,SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROPICKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:262-542-4700
Mailing Address - Street 1:N21W23340 RIDGEVIEW PKWY W STE 110
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-1021
Mailing Address - Country:US
Mailing Address - Phone:262-542-4700
Mailing Address - Fax:262-542-7499
Practice Address - Street 1:N21W23340 RIDGEVIEW PKWY W STE 110
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-1021
Practice Address - Country:US
Practice Address - Phone:262-542-4700
Practice Address - Fax:262-542-7499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3571111N00000X
WI2155111NR0400X
WI43273-020207P00000X
WI2362363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38843600Medicaid
WIT63139Medicare UPIN