NPI Code Detail XML Logo

1093539173 NPI number — CHIROPRACTIC HEALTH CENTER OF WAUPACA LLC, STUART BOELTE SOLE MBR

NPI Number: 1093539173
Health Care Provider/Practitioner: CHIROPRACTIC HEALTH CENTER OF WAUPACA LLC, STUART BOELTE SOLE MBR

Information about “1093539173” NPI (CHIROPRACTIC HEALTH CENTER OF WAUPACA LLC, STUART BOELTE SOLE MBR) exists in 1093539173 in HTML format HTML  |  1093539173 in plain Text format TXT  |  1093539173 in PDF (Portable Document Format) PDF  |  1093539173 in an JSON format JSON  formats.

NPI Number : 1093539173 – XML Data Format 

                    
<?xml version="1.0" encoding="UTF-8"?>
<Npi>
	<NPI>
		1093539173
	</NPI>
	<EntityType>
		Organization
	</EntityType>
	<ReplacementNPI/>
	<EIN/>
	<IsSoleProprietor/>
	<IsOrgSubpart>
		N
	</IsOrgSubpart>
	<ParentOrgLBN/>
	<ParentOrgTIN/>
	<OrgName>
		CHIROPRACTIC HEALTH CENTER OF WAUPACA LLC, STUART BOELTE SOLE MBR
	</OrgName>
	<LastName/>
	<FirstName/>
	<MiddleName/>
	<NamePrefix/>
	<NameSuffix/>
	<Credential/>
	<OtherOrgName/>
	<OtherOrgNameTypeCode/>
	<OtherLastName/>
	<OtherFirstName/>
	<OtherMiddleName/>
	<OtherNamePrefix/>
	<OtherNameSuffix/>
	<OtherCredential/>
	<OtherLastNameTypeCode/>
	<FirstLineMailingAddress>
		1326 ROYALTON ST
	</FirstLineMailingAddress>
	<SecondLineMailingAddress/>
	<MailingAddressCityName>
		WAUPACA
	</MailingAddressCityName>
	<MailingAddressStateName>
		WI
	</MailingAddressStateName>
	<MailingAddressPostalCode>
		54981-1609
	</MailingAddressPostalCode>
	<MailingAddressCountryCode>
		US
	</MailingAddressCountryCode>
	<MailingAddressTelephoneNumber>
		715-258-8288
	</MailingAddressTelephoneNumber>
	<MailingAddressFaxNumber>
		715-258-7195
	</MailingAddressFaxNumber>
	<FirstLinePracticeLocationAddress>
		1326 ROYALTON ST
	</FirstLinePracticeLocationAddress>
	<SecondLinePracticeLocationAddress/>
	<PracticeLocationAddressCityName>
		WAUPACA
	</PracticeLocationAddressCityName>
	<PracticeLocationAddressStateName>
		WI
	</PracticeLocationAddressStateName>
	<PracticeLocationAddressPostalCode>
		54981-1609
	</PracticeLocationAddressPostalCode>
	<PracticeLocationAddressCountryCode>
		US
	</PracticeLocationAddressCountryCode>
	<PracticeLocationAddressTelephoneNumber>
		715-258-8288
	</PracticeLocationAddressTelephoneNumber>
	<PracticeLocationAddressFaxNumber>
		715-258-7195
	</PracticeLocationAddressFaxNumber>
	<EnumerationDate>
		11/14/2024
	</EnumerationDate>
	<LastUpdateDate>
		11/18/2024
	</LastUpdateDate>
	<NPIDeactivationReasonCode/>
	<NPIDeactivationReason/>
	<NPIDeactivationDate/>
	<NPIReactivationDate/>
	<GenderCode/>
	<Gender/>
	<AuthorizedOfficialLastName>
		BOELTE
	</AuthorizedOfficialLastName>
	<AuthorizedOfficialFirstName>
		STUART
	</AuthorizedOfficialFirstName>
	<AuthorizedOfficialMiddleName>
		JOHN
	</AuthorizedOfficialMiddleName>
	<AuthorizedOfficialTitle>
		CHIROPRACTOR
	</AuthorizedOfficialTitle>
	<AuthorizedOfficialNamePrefix>
		DR.
	</AuthorizedOfficialNamePrefix>
	<AuthorizedOfficialNameSuffix/>
	<AuthorizedOfficialCredential>
		DC
	</AuthorizedOfficialCredential>
	<AuthorizedOfficialTelephoneNumber>
		715-258-8288
	</AuthorizedOfficialTelephoneNumber>
	<Taxonomies>
		<Taxonomy>
			<TaxonomyCode>
				111N00000X
			</TaxonomyCode>
			<TaxonomyName>
				Chiropractor
			</TaxonomyName>
			<LicenseNumber/>
			<LicenseNumberStateCode/>
			<PrimaryTaxonomySwitch>
				Y
			</PrimaryTaxonomySwitch>
		</Taxonomy>
	</Taxonomies>
	<HealthcareProviderTaxonomyGroups>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193400000X SINGLE SPECIALTY  GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
	</HealthcareProviderTaxonomyGroups>
</Npi>

NPI Number XSD (XML Schema Definition)

                
<?xml version="1.0" encoding="UTF-8"?>
   <xs:schema xmlns:xs="http://www.w3.org/2001/XMLSchema" elementFormDefault="qualified" attributeFormDefault="unqualified">
         <xs:element name="Npi">
               <xs:complexType>
                     <xs:sequence>
                           <xs:element name="NPI" type="xs:int"></xs:element>
                           <xs:element name="EntityType" type="xs:string"></xs:element>
                           <xs:element name="ReplacementNPI"></xs:element>
                           <xs:element name="EIN"></xs:element>
                           <xs:element name="IsSoleProprietor" type="xs:string"></xs:element>
                           <xs:element name="IsOrgSubpart"></xs:element>
                           <xs:element name="ParentOrgLBN"></xs:element>
                           <xs:element name="ParentOrgTIN"></xs:element>
                           <xs:element name="OrgName"></xs:element>
                           <xs:element name="LastName" type="xs:string"></xs:element>
                           <xs:element name="FirstName" type="xs:string"></xs:element>
                           <xs:element name="MiddleName"></xs:element>
                           <xs:element name="NamePrefix" type="xs:string"></xs:element>
                           <xs:element name="NameSuffix"></xs:element>
                           <xs:element name="Credential" type="xs:string"></xs:element>
                           <xs:element name="OtherOrgName"></xs:element>
                           <xs:element name="OtherOrgNameTypeCode"></xs:element>
                           <xs:element name="OtherLastName"></xs:element>
                           <xs:element name="OtherFirstName"></xs:element>
                           <xs:element name="OtherMiddleName"></xs:element>
                           <xs:element name="OtherNamePrefix"></xs:element>
                           <xs:element name="OtherNameSuffix"></xs:element>
                           <xs:element name="OtherCredential"></xs:element>
                           <xs:element name="OtherLastNameTypeCode"></xs:element>
                           <xs:element name="FirstLineMailingAddress" type="xs:string"></xs:element>
                           <xs:element name="SecondLineMailingAddress"></xs:element>
                           <xs:element name="MailingAddressCityName" type="xs:string"></xs:element>
                           <xs:element name="MailingAddressStateName" type="xs:string"></xs:element>
                           <xs:element name="MailingAddressPostalCode" type="xs:string"></xs:element>
                           <xs:element name="MailingAddressCountryCode" type="xs:string"></xs:element>
                           <xs:element name="MailingAddressTelephoneNumber" type="xs:string"></xs:element>
                           <xs:element name="MailingAddressFaxNumber"></xs:element>
                           <xs:element name="FirstLinePracticeLocationAddress" type="xs:string"></xs:element>
                           <xs:element name="SecondLinePracticeLocationAddress" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressCityName" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressStateName" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressPostalCode" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressCountryCode" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressTelephoneNumber" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressFaxNumber"></xs:element>
                           <xs:element name="EnumerationDate" type="xs:string"></xs:element>
                           <xs:element name="LastUpdateDate" type="xs:string"></xs:element>
                           <xs:element name="NPIDeactivationReasonCode"></xs:element>
                           <xs:element name="NPIDeactivationReason"></xs:element>
                           <xs:element name="NPIDeactivationDate"></xs:element>
                           <xs:element name="NPIReactivationDate"></xs:element>
                           <xs:element name="GenderCode" type="xs:string"></xs:element>
                           <xs:element name="Gender" type="xs:string"></xs:element>
                           <xs:element name="AuthorizedOfficialLastName"></xs:element>
                           <xs:element name="AuthorizedOfficialFirstName"></xs:element>
                           <xs:element name="AuthorizedOfficialMiddleName"></xs:element>
                           <xs:element name="AuthorizedOfficialTitle"></xs:element>
                           <xs:element name="AuthorizedOfficialNamePrefix"></xs:element>
                           <xs:element name="AuthorizedOfficialNameSuffix"></xs:element>
                           <xs:element name="AuthorizedOfficialCredential"></xs:element>
                           <xs:element name="AuthorizedOfficialTelephoneNumber"></xs:element>
                           <xs:element name="Taxonomies">
                                 <xs:complexType>
                                       <xs:sequence>
                                             <xs:element name="Taxonomy" maxOccurs="unbounded">
                                                   <xs:complexType>
                                                         <xs:sequence>
                                                               <xs:element name="TaxonomyCode" type="xs:string"></xs:element>
                                                               <xs:element name="TaxonomyName" type="xs:string"></xs:element>
                                                               <xs:element name="LicenseNumber" type="xs:string"></xs:element>
                                                               <xs:element name="LicenseNumberStateCode" type="xs:string"></xs:element>
                                                               <xs:element name="PrimaryTaxonomySwitch" type="xs:string"></xs:element>
                                                         </xs:sequence>
                                                   </xs:complexType>
                                             </xs:element>
                                       </xs:sequence>
                                 </xs:complexType>
                           </xs:element>
                           <xs:element name="OtherIdentifiers">
                                 <xs:complexType>
                                       <xs:sequence>
                                             <xs:element name="OtherIdentifier" maxOccurs="unbounded">
                                                   <xs:complexType>
                                                         <xs:sequence>
                                                               <xs:element name="OtherIdentifierName" type="xs:string"></xs:element>
                                                               <xs:element name="OtherIdentifierType" type="xs:string"></xs:element>
                                                               <xs:element name="OtherIdentifierState" type="xs:string"></xs:element>
                                                               <xs:element name="OtherIdentifierIssuer"></xs:element>
                                                         </xs:sequence>
                                                   </xs:complexType>
                                             </xs:element>
                                       </xs:sequence>
                                 </xs:complexType>
                           </xs:element>
                           <xs:element name="HealthcareProviderTaxonomyGroups"></xs:element>
                     </xs:sequence>
               </xs:complexType>
         </xs:element>
   </xs:schema>

Copyright © 2007-2026 Data Labs Health. All rights reserved.