Provider Demographics
NPI:1134171424
Name:BEYLER, PATRICK DONALD (DC)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:DONALD
Last Name:BEYLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1777 THIERER ROAD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704
Mailing Address - Country:US
Mailing Address - Phone:608-244-2430
Mailing Address - Fax:608-244-2638
Practice Address - Street 1:1777 THIERER ROAD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704
Practice Address - Country:US
Practice Address - Phone:608-244-2430
Practice Address - Fax:608-244-2638
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2138111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T61498Medicare UPIN
75234Medicare ID - Type Unspecified