Provider Demographics
NPI:1821062993
Name:HEALTHWISE CHIROPRACTIC INC
Entity Type:Organization
Organization Name:HEALTHWISE CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:R
Authorized Official - Last Name:NEKL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-339-9473
Mailing Address - Street 1:3301 E 26TH ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-4174
Mailing Address - Country:US
Mailing Address - Phone:605-339-9473
Mailing Address - Fax:
Practice Address - Street 1:3301 E 26TH ST
Practice Address - Street 2:SUITE 109
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-4174
Practice Address - Country:US
Practice Address - Phone:605-339-9473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-15
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD978111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDS41511Medicare PIN