Dr. Lee Charles Schwalenberg
Chiropractor in Kaukauna, WI. Individual provider (NPI-1).
NPI number1295947406
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1295947406
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lee Charles Schwalenberg
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 3, 2007
- Last updated
- Jul 9, 2007
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 4159-012 | WI | Yes |
Practice location
2450 Crooks AveKaukauna, WI 54130-3914
Phone 920-462-0912 · Fax 920-462-0914
Mailing address
2450 Crooks AveKaukauna, WI 54130-3914
Phone 920-462-0912 · Fax 920-462-0914
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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.
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All 12 Chiropractor providers in Kaukauna · All 199 providers in Kaukauna
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