Healthcare Provider Details

I. General information

NPI: 1669522876
Provider Name (Legal Business Name): GALEN SCHARER CHIROPRACTIC CLINIC, S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 S HARDING ST
OWEN WI
54460
US

IV. Provider business mailing address

PO BOX 99
OWEN WI
54460
US

V. Phone/Fax

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

VIII. Authorized Official

Name: DR. GALEN R SCHARER
Title or Position: PRESIDENT
Credential: DC
Phone: 715-229-2113