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NPI Code Detail

MEDICARE: STOIBER HEALTHCARE S.C.

MEDICARE: STOIBER HEALTHCARE S.C.
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
1111N00000XChiropractor649315-9WI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CK9304OTHERWIRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376605246
Entity Type Code : Organization
Provider Name (Legal Business Name) : STOIBER HEALTHCARE S.C.
Provider Business Mailing Address
First Line : 1210 PARKWOOD DR
Second Line :
City : WISCONSIN RAPIDS
State : WI
Zip : 54494-5488
Country : US
Telephone Number : 715-424-4646
Fax Number : 715-424-3354
Provider Business Practice Location Address
First Line : 1210 PARKWOOD DR
Second Line :
City : WISCONSIN RAPIDS
State : WI
Zip : 54494-5488
Country : US
Telephone Number : 715-424-4646
Fax Number : 715-424-3354
Authorized Official
Title or Position : PRESIDENT
Name : MOZELLE L STOIBER
Credential : DC
Telephone Number : 715-424-4646
Provider Enumeration Date : 12/15/2006
Last Update Date : 04/30/2015

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Practice Fax: 715-421-2123

Directions to “STOIBER HEALTHCARE S.C. ” Practice Location

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