Healthcare Provider Details

I. General information

NPI: 1386717742
Provider Name (Legal Business Name): GALEN R SCHARER II DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 09/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 S HARDING ST
OWEN WI
54460
US

IV. Provider business mailing address

107 S HARDING ST PO BOX 99
OWEN WI
54460
US

V. Phone/Fax

Practice location:
  • Phone: 715-229-2113
  • Fax: 715-229-2113
Mailing address:
  • Phone: 715-229-2113
  • Fax: 715-229-4816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1405012
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: