Fond Du Lac Family Chiropractic LLC
NPI 1790278695ActiveOrganization· Chiropractor· Fond Du Lac, WI
Chiropractor in Fond Du Lac, Wisconsin, registered in NPPES in June 2018. The authorized official on file is Scott Suprenand, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790278695 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2018 |
| Last updated in NPPES | Dec 28, 2021 |
| Certified by provider | Dec 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 4745 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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