Provider Demographics
NPI:1285789735
Name:BIRCHER, STEVEN D (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:BIRCHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3321 GOLF RD STE A
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-9190
Mailing Address - Country:US
Mailing Address - Phone:715-832-1953
Mailing Address - Fax:715-832-0225
Practice Address - Street 1:3321 GOLF RD STE A
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-9190
Practice Address - Country:US
Practice Address - Phone:715-832-1953
Practice Address - Fax:715-832-0225
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1708111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI000175035Medicare ID - Type Unspecified
WIT61507Medicare UPIN