Provider Demographics
NPI:1982707154
Name:THORPE CHIROPRACTIC WORKS SC
Entity Type:Organization
Organization Name:THORPE CHIROPRACTIC WORKS SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:THORPE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-362-2222
Mailing Address - Street 1:2950 PRAIRIE AVE
Mailing Address - Street 2:STE A
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-1899
Mailing Address - Country:US
Mailing Address - Phone:608-362-2222
Mailing Address - Fax:608-362-9626
Practice Address - Street 1:2950 PRAIRIE AVE
Practice Address - Street 2:STE A
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-1899
Practice Address - Country:US
Practice Address - Phone:608-362-2222
Practice Address - Fax:608-362-9626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2646-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIU10099Medicare UPIN
WI75330Medicare ID - Type Unspecified