Provider Demographics
NPI:1265512339
Name:SENGBUSCH, JOEL CARROLL (DC)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:CARROLL
Last Name:SENGBUSCH
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 1:1610 MAXWELL DR
Mailing Address - Street 2:STE. 100
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-8709
Mailing Address - Country:US
Mailing Address - Phone:715-386-9393
Mailing Address - Fax:715-386-9885
Practice Address - Street 1:1610 MAXWELL DR
Practice Address - Street 2:STE. 100
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-8709
Practice Address - Country:US
Practice Address - Phone:715-386-9393
Practice Address - Fax:715-386-9885
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3108111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor