MEDICARE: ADVANCED CHIROPRACTIC CLINICS INC

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	2231-.012	WI

General Provider Information

NPI Number	:	1548635097
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED CHIROPRACTIC CLINICS INC

Provider Business Mailing Address
First Line	:	3 E MAIN ST
Second Line	:
City	:	BLACK RIVER FALLS
State	:	WI
Zip	:	54615-1408
Country	:	US
Telephone Number	:	715-284-5550
Fax Number	:	715-284-3417

Provider Business Practice Location Address
First Line	:	3 E MAIN ST
Second Line	:
City	:	BLACK RIVER FALLS
State	:	WI
Zip	:	54615-1408
Country	:	US
Telephone Number	:	715-284-5550
Fax Number	:	715-284-3417

Authorized Official
Title or Position	:	OWNER
Name	:	TIMOTHY SHAW
Credential	:	DC
Telephone Number	:	715-284-5550

Provider Enumeration Date	:	12/09/2015
Last Update Date	:	12/09/2015

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1477659670 — JOEL J GARTNER DC
Practice Location Address:

3 E MAIN ST
BLACK RIVER FALLS, WI
54615-1408

Practice Phone: 715-284-5550
Practice Fax:

1669848875 — CATHLEEN L HOLM MA, LMFT
Practice Location Address:

3 E MAIN ST
BLACK RIVER FALLS, WI
54615-1408

Practice Phone: 920-791-3042
Practice Fax:

1548630841 — ADVANCED CHIROPRACTIC AND LASER CENTERS, INC
Practice Location Address:

3 E MAIN ST
BLACK RIVER FALLS, WI
54615-1408

Practice Phone: 715-284-5550
Practice Fax:

1386607299 — RICHARD DAVID NORRIS RPH
Practice Location Address:

95 FALL ST
SENECA FALLS, NY
13148-1408

Practice Phone: 315-568-1700
Practice Fax: 315-568-1300

1730144361 — MRS. SHERYL ANNE LIEDTKE RPH
Practice Location Address:

95 FALL ST
SENECA FALLS, NY
13148-1408

Practice Phone: 315-568-1700
Practice Fax: 315-568-1300

Directions to “ADVANCED CHIROPRACTIC CLINICS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.