Provider Demographics
NPI:1891012829
Name:RECHCYGL, CHAD ANDREW (DC)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:ANDREW
Last Name:RECHCYGL
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 1:603 N ROCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:MUKWONAGO
Mailing Address - State:WI
Mailing Address - Zip Code:53149-1139
Mailing Address - Country:US
Mailing Address - Phone:262-363-5021
Mailing Address - Fax:262-363-5037
Practice Address - Street 1:603 N ROCHESTER ST
Practice Address - Street 2:
Practice Address - City:MUKWONAGO
Practice Address - State:WI
Practice Address - Zip Code:53149-1139
Practice Address - Country:US
Practice Address - Phone:262-363-5021
Practice Address - Fax:262-363-5037
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4547-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor