Provider Demographics
NPI:1932190311
Name:LENTSCHER BROTHERS LLC
Entity type:Organization
Organization Name:LENTSCHER BROTHERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:LENTSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:920-887-7156
Mailing Address - Street 1:250 CORPORATE DR.
Mailing Address - Street 2:
Mailing Address - City:BEAVER DAM
Mailing Address - State:WI
Mailing Address - Zip Code:53916
Mailing Address - Country:US
Mailing Address - Phone:920-887-7156
Mailing Address - Fax:920-887-7290
Practice Address - Street 1:250 CORPORATE DR.
Practice Address - Street 2:
Practice Address - City:BEAVER DAM
Practice Address - State:WI
Practice Address - Zip Code:53916
Practice Address - Country:US
Practice Address - Phone:920-887-7156
Practice Address - Fax:920-887-7290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-03
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1524111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI35564Medicare ID - Type Unspecified