Provider Demographics
NPI:1023227600
Name:AHEAD TO HEALTH, LLC
Entity type:Organization
Organization Name:AHEAD TO HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DEHNERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:262-754-1211
Mailing Address - Street 1:15400 W CAPITOL DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-2661
Mailing Address - Country:US
Mailing Address - Phone:262-754-1211
Mailing Address - Fax:262-754-2911
Practice Address - Street 1:15400 W CAPITOL DR
Practice Address - Street 2:SUITE 202
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-2661
Practice Address - Country:US
Practice Address - Phone:262-754-1211
Practice Address - Fax:262-754-2911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2404111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI389207000Medicaid
WI000075153Medicare PIN