Provider Demographics
NPI:1578711784
Name:ASBEL ENTERPRISES, INC.
Entity Type:Organization
Organization Name:ASBEL ENTERPRISES, INC.
Other - Org Name:ASBEL CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:ASBEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-847-1888
Mailing Address - Street 1:N3540 STATE ROAD 58
Mailing Address - Street 2:P.O. BOX 252
Mailing Address - City:MAUSTON
Mailing Address - State:WI
Mailing Address - Zip Code:53948-9305
Mailing Address - Country:US
Mailing Address - Phone:608-847-1888
Mailing Address - Fax:608-847-1678
Practice Address - Street 1:31380 HAPPY HOLLOW EAST RD
Practice Address - Street 2:
Practice Address - City:CAZENOVIA
Practice Address - State:WI
Practice Address - Zip Code:53924-8312
Practice Address - Country:US
Practice Address - Phone:608-986-2075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2480-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38847700Medicaid
WI000035303Medicare PIN