Lakes Chiropractic & Wellness Sc
Lakes Chiropractic & Wellness Sc is a healthcare organization registered as Chiropractor in Eagle River, WI, holding Type 2 (organization) NPI 1609021856 since 2008. The authorized official on file is Earl Roth, Shareholder.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1609021856 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lakes Chiropractic & Wellness Sc |
| Practice address | 761 US HIGHWAY 45 S, Eagle River, WI, 54521 |
| Phone | 7154798700 |
| Enumeration date | 2008-12-01 |
| Last updated in NPPES | 2008-12-01 |
Authorized official
| Name | Earl Roth |
|---|---|
| Title | Shareholder |
| Phone | 7153651200 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Primary | — | — |
Copy-ready billing details
Provider: Lakes Chiropractic & Wellness Sc NPI: 1609021856 Taxonomy: 111N00000X (Chiropractor) Address: 761 US HIGHWAY 45 S, Eagle River, WI, 54521
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1285915397 | Michelle Madderom | Individual | Chiropractor | Eagle River, WI |
| 1689941601 | Eagle River Chiropractic Sc | Organization | Chiropractor | Eagle River, WI |
| 1497525109 | Brooke Stefonik | Individual | Chiropractor | Eagle River, WI |
Verify this record
Cross-check NPI 1609021856 against the authoritative CMS record: view Lakes Chiropractic & Wellness Sc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Lakes Chiropractic & Wellness Sc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-12-01.