Individual
MR. JACK W SCHERMERHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2517 SOUTH AVE, SCHERMERHORN CHIROPRACTIC, LACROSSE, WI 54601
(608) 787-8000
(608) 787-8003
Mailing address
2517 SOUTH AVE, SCHERMERHORN CHIROPRACTIC, LACROSSE, WI 54601
(608) 787-8000
(608) 787-8003
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1676
WI
111N00000X
Chiropractor
2465
MN
171100000X
Acupuncturist
002465
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391396774
TAX ID
WI
01
—
4797820
TAX ID
MN
Enumeration date
09/20/2006
Last updated
10/01/2011
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