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Benjamin John Breidenbach

Chiropractor in Lacrosse, WI. Individual provider (NPI-1).

NPI number1245309327
StatusActive
Last updated in NPPESSep 27, 2011

Details

NPI
1245309327
Entity type
Individual (NPI-1)
Name
Benjamin John Breidenbach
Sex
Male
Sole proprietor
No
Enumeration date
Nov 6, 2006
Last updated
Sep 27, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - CHIROPRACTIC
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor3676012WIYes

Practice location

1640 George St
Lacrosse, WI 54650

Phone 608-781-9880 · Fax 608-783-5426

Mailing address

N5498 Hwy 35
Onalaska, WI 54650

Phone 608-779-5323 · Fax 608-779-5328

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Chiropractor providers in Lacrosse, WI

All 11 Chiropractor providers in Lacrosse · All 69 providers in Lacrosse

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