Provider Demographics
NPI:1770611808
Name:CHIROPRACTIC COMPANY - MENOMONEE FALLS LTD
Entity type:Organization
Organization Name:CHIROPRACTIC COMPANY - MENOMONEE FALLS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:CORSI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:262-253-6779
Mailing Address - Street 1:N96W18743 COUNTY LINE RD STOP E
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-7100
Mailing Address - Country:US
Mailing Address - Phone:262-253-6779
Mailing Address - Fax:262-257-9502
Practice Address - Street 1:N96W18743 COUNTY LINE RD STOP E
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-7100
Practice Address - Country:US
Practice Address - Phone:262-253-6779
Practice Address - Fax:262-257-9502
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHIROPRACTIC COMPANY S.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-01
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38888200Medicaid
U43549Medicare UPIN
000035685Medicare ID - Type Unspecified