Provider Demographics
NPI:1669522876
Name:GALEN SCHARER CHIROPRACTIC CLINIC, S.C.
Entity type:Organization
Organization Name:GALEN SCHARER CHIROPRACTIC CLINIC, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GALEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHARER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-229-2113
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:OWEN
Mailing Address - State:WI
Mailing Address - Zip Code:54460
Mailing Address - Country:US
Mailing Address - Phone:715-229-2113
Mailing Address - Fax:715-229-4816
Practice Address - Street 1:107 S HARDING ST
Practice Address - Street 2:
Practice Address - City:OWEN
Practice Address - State:WI
Practice Address - Zip Code:54460
Practice Address - Country:US
Practice Address - Phone:715-229-2113
Practice Address - Fax:715-229-4816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1405012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38753900Medicaid
WI38753900Medicaid
WI000035626Medicare ID - Type Unspecified