Provider Demographics
NPI:1386717742
Name:SCHARER, GALEN R II (DC)
Entity type:Individual
Prefix:DR
First Name:GALEN
Middle Name:R
Last Name:SCHARER
Suffix:II
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 1:107 S HARDING ST PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:OWEN
Mailing Address - State:WI
Mailing Address - Zip Code:54460
Mailing Address - Country:US
Mailing Address - Phone:715-229-2113
Mailing Address - Fax:715-229-4816
Practice Address - Street 1:107 S HARDING ST
Practice Address - Street 2:
Practice Address - City:OWEN
Practice Address - State:WI
Practice Address - Zip Code:54460
Practice Address - Country:US
Practice Address - Phone:715-229-2113
Practice Address - Fax:715-229-2113
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1405012111N00000X
246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38753900Medicaid
T63206Medicare UPIN
WI000035626Medicare ID - Type Unspecified