MEDICARE: BADGER HEALTH CENTER SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3684012	WI

General Provider Information

NPI Number	:	1144419714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BADGER HEALTH CENTER SC

Provider Business Mailing Address
First Line	:	1353 S WEST AVE
Second Line	:
City	:	WAUKESHA
State	:	WI
Zip	:	53186-5943
Country	:	US
Telephone Number	:	262-547-2250
Fax Number	:

Provider Business Practice Location Address
First Line	:	1353 S WEST AVE
Second Line	:
City	:	WAUKESHA
State	:	WI
Zip	:	53186-5943
Country	:	US
Telephone Number	:	262-547-2250
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR OWNER
Name	:	DR. JOCELYN K HALLEN
Credential	:	DC
Telephone Number	:	262-547-2250

Provider Enumeration Date	:	10/19/2007
Last Update Date	:	05/07/2009

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Directions to “BADGER HEALTH CENTER SC ” Practice Location

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