Imagine Chiropractic and Wellness Center, Inc.
NPI 1306102066ActiveOrganization· Chiropractor· Green Bay, WI
Chiropractor in Green Bay, Wisconsin, registered in NPPES in April 2012. The authorized official on file is Angela Renee Thiele, D.C., Owner/Chiropractor.
Overview
| NPI | 1306102066 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 6, 2012 |
| Last updated in NPPES | Apr 6, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 4371-012 | WI |
| Chiropractor, Sports Physician | 111NS0005X | 5028 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other chiropractors in Green Bay
- 1104453570
- 1508990680
- 1568076081
- 1003837170
- 1013103225
- 1023182433
- 1023229903
- 1033488788
- 1053472977
- 1053665364
- 1053836148
- 1063885168
All 171 chiropractors in Green Bay · All chiropractors in Wisconsin