Provider Demographics
NPI:1295884013
Name:SCHARER SPINAL AID CENTERS S C
Entity type:Organization
Organization Name:SCHARER SPINAL AID CENTERS S C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:GALEN
Authorized Official - Last Name:SCHARER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-848-2710
Mailing Address - Street 1:3510 STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-4919
Mailing Address - Country:US
Mailing Address - Phone:715-848-2710
Mailing Address - Fax:715-848-2712
Practice Address - Street 1:3510 STEWART AVE
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4919
Practice Address - Country:US
Practice Address - Phone:715-848-2710
Practice Address - Fax:715-848-2712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4046 012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty