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Fond Du Lac Family Chiropractic LLC

Chiropractor in Fond Du Lac, WI · enumerated 2018 · authorized official Scott Suprenand, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790278695

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Registry record

Entity type Organization (Type 2)
Legal business name Fond Du Lac Family Chiropractic LLC
Practice address 103 S Pioneer Rd Ste 200, Fond Du Lac, WI, 54935
Phone (208) 722-9639
Fax (920) 933-2511
Enumeration date Jun 14, 2018
Last updated in NPPES Dec 28, 2021

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers · License 4745 (WI) Primary

Authorized official

Name Scott Suprenand
Title Owner
Phone (920) 872-2969

Other identifiers

Identifier Type State Issuer
100014403 Medicaid WI -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-12-28. Verify at npiregistry.cms.hhs.gov.
Where is Fond Du Lac Family Chiropractic LLC located?
The practice location on file with NPPES is in Fond Du Lac, WI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-28.