Jack W Schermerhorn, DC
Chiropractor in Lacrosse, WI. Individual provider (NPI-1).
NPI number1508964776
StatusActive
Last updated in NPPESOct 1, 2011
Details
- NPI
- 1508964776
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jack W Schermerhorn
- Credential
- DC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2006
- Last updated
- Oct 1, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 | 1676 | WI | Yes |
| 111N00000X | Chiropractor | 2465 | MN | |
| 171100000X | Acupuncturist | 002465 | MN |
Practice location
2517 South AveSchermerhorn Chiropractic
Lacrosse, WI 54601
Phone 608-787-8000 · Fax 608-787-8003
Mailing address
2517 South AveSchermerhorn Chiropractic
Lacrosse, WI 54601
Phone 608-787-8000 · Fax 608-787-8003
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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 11 Chiropractor providers in Lacrosse · All 69 providers in Lacrosse
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