Dr. Ethan A. Dull
Chiropractor (Rehabilitation)

Address: 2343 Silvernail Rd, Pewaukee, WI 53072-5402
Phone: 2625424700

Dr. Ethan A. Dull (NPI# 1699831909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1699831909
Entity Type Individual
Full Name Dr. Ethan A. Dull
Credential D.C.
Gender Male
Practice Address 2343 Silvernail Rd
Pewaukee
WI 53072-5402
Practice Telephone 2625424700
Practice Fax Number 2625427499
Mailing Address 12711 W Meadow Ln
New Berlin
WI 53151-1831
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-12-29
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 111NR0400X Chiropractor · Rehabilitation Chiropractic Providers 3571 WI

Other Provider Identifier

State Identifier Issuer Type Code
WI 38922600 MEDICAID

Physician Overview

NPI 1699831909
PAC ID by PECOS 8426039488
Professional Enrollment ID I20040526000280
Full Name Ethan A Dull
Organization Legal Name CHIROPRACTIC CARE CENTER-WAUKESHA,LLC
Phone Number 2625429814
Gender M
Credential DC
Medical School NATIONAL COLLEGE OF CHIROPRACTIC
Graduation Year 1998
Primary Specialty CHIROPRACTIC
Group Practice PAC ID 4183706344
Number of Group Practice Members 2
Accepts Medicare Assignment Y
Use Electronic Health Records Y

Office Location

Street Address 2343 SILVERNAIL RD
City PEWAUKEE
State WI
Zip Code 53072-5402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427114172 James Allen Ropicky Chiropractor 2343 Silvernail Rd, Pewaukee, WI 53072-5402 2006-12-28
1982016861 Kayci Michelle Timm Chiropractor 2343 Silvernail Rd, Pewaukee, WI 53072-5402 2014-05-27
1912347048 Steve Christopher Wilsens Chiropractor 2343 Silvernail Rd, Pewaukee, WI 53072-5402 2013-07-03
1104156140 Erin Elizabeth Nash Chiropractor 2343 Silvernail Rd, Pewaukee, WI 53072-5402 2010-01-13
1295918555 Shepherd Chiropractic Clinic S.c. Clinic/Center 2343 Silvernail Rd, Pewaukee, WI 53072-5402 2007-12-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417426925 Edward Dow Psychologist W268n1988 Shooting Star Road, Pewaukee, WI 53072 2018-11-14
1346664869 Jane Sweney Counselor 325 Forest Grove Drive, Pewaukee, WI 53072 2014-02-05
1093082182 Kristin Elizabeth Thieneman Pharmacist 443 Pewaukee Road, Pewaukee, WI 53072 2011-11-17
1922318393 Ariane Machin Psychologist 161 W. Wisconsin Ave #2b, Pewaukee, WI 53072 2010-10-19
1083923049 Kimberly Jean Berndt Registered Nurse 1001 Cecelia Dr, Pewaukee, WI 53072 2010-09-24
1083930879 Scott Robert Borkenhagen Student in an Organized Health Care Education/Training Program 384 Willow Grove Dr., Unit D, Pewaukee, WI 53072 2010-04-19
1912174988 Robert Thomas Lynch Dentist 234 Oakton Ave, Pewaukee, WI 53072 2008-05-09
1245417393 Jessica L Kurz Social Worker N27w23960 Paul Rd Ste 206, Pewaukee, WI 53072 2008-01-30
1942402607 Jill San Agustin Acupuncturist 2900 Golf Road, Pewaukee, WI 53072 2007-06-04
1417167115 Chiro-med,sc Chiropractor 1921 Silvernail Road, Suite 101, Pewaukee, WI 53072 2007-05-23
Find all providers in zip 53072

Taxonomy Information

Taxonomy Code 111NR0400X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Rehabilitation

Taxonomy Definition

Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427114172 James Allen Ropicky Chiropractor 2343 Silvernail Rd, Pewaukee, WI 53072-5402 2006-12-28
1952679367 Wisconsin Spinal Rehabilitation Center, S.c. Chiropractor N35w23770 Capitol Dr, Pewaukee, WI 53072-6312 2011-12-13
1902133994 Wisconsin Spinal Rehabilitation Center, S.c. Chiropractor N35w23770 Capitol Dr, Pewaukee, WI 53072-6312 2009-11-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205347564 Motus Chiropractic & Spine Rehab Sc Chiropractor 5261 N Portwashington Rd, Milwaukee, WI 53217-5321 2017-10-13
1457861007 Intergrated Pain and Spine Care Sc Chiropractor 5261 N Port Washington Rd Ste 100, Milwaukee, WI 53217-4903 2017-10-10
1508111865 Michael T Mcqueen Chiropractor 36500 Aurora Dr, Summit, WI 53066-4899 2012-07-23
1700031044 Stephen G. Flikke D.c. S.c. Chiropractor 2424 Monetary Blvd Ste 105, Hudson, WI 54016-8737 2008-12-01
1508012014 Sekanick Chiropractic Comprehensive Spinal Clinic Inc Chiropractor 4602 S Biltmore Lane, Suite 100, Madison, WI 53718 2008-08-15
1235301490 David Heitmann Chiropractor 3109 Commercial Ave, Madison, WI 53714-1447 2008-03-27
1225253628 Margaret Mary Mertens Chiropractor 156 S Central Ave, Marshfield, WI 54449-2833 2007-04-13
1033269394 Matthew John Schwab Chiropractor 1030 Oak Ridge Dr Ste 4, Eau Claire, WI 54701-6144 2007-01-11
1235299751 Roy M. Ostenson Chiropractor 2425 W Wisconsin Ave, Appleton, WI 54914-3110 2006-12-12
1497833636 Corey James Schneider Chiropractor 5261 N Port Washington Rd, Suite 101, Glendale, WI 53217-4903 2006-11-02
Find all providers with the same taxonomy

Competitor

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City PEWAUKEE
Zip Code 53072

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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