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Ideal Chiropractic of Fond Du Lac LLC

NPI 1639351026ActiveOrganization· Chiropractor· Fond Du Lac, WI

Chiropractor in Fond Du Lac, Wisconsin, registered in NPPES in November 2007. The authorized official on file is Jessica Lynn Rodriguez, DC, Doctor Of Chiropractic.

Overview

NPI1639351026
StatusActive
Entity typeOrganization
NPI issuedNov 28, 2007
Last updated in NPPESNov 28, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Chiropractor Primary111N00000X4174-012WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Chiropractor providers in Fond Du Lac

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