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Benjamin Joseph Lickteig

Chiropractor β€’ Hudson, WI

Active NPI 1417532540 Individual Practitioner Male Practitioner
Practice location in NPPES

2910 Enloe St Ste 101
Hudson, WI 540164539

Call 9522072186 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2910 Enloe St Ste 101

Hudson, WI 540164539

Telephone 9522072186

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Hudson and Wisconsin

42 active clinicians are listed under Chiropractor with a practice address in Hudson, WI (2,550 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Hudson

0% of these 42 clinicians have the CMS telehealth indicator.

35.7% of these 42 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-08
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES WI 6094

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES MN 6790

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 08, 2024

Registered at 2910 ENLOE ST STE 101, HUDSON, WI 540164539 (Tel: 9522072186)

πŸ“
Updated Business Mailing Address August 08, 2024

Registered at 2910 ENLOE ST STE 101, HUDSON, WI 540164539 (Tel: 7156902910)

βœ…
NPI Profile Active March 10, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 10, 2021

Registered at 7400 METRO BLVD STE 222, EDINA, MN 554392321 (Tel: 9522072186)

πŸ“
Business Mailing Address (Initial Record) March 10, 2021

Registered at 7400 METRO BLVD STE 222, EDINA, MN 554392321 (Tel: 9522072186)

πŸ‘€
Provider Name / Credentials (Initial Record) March 10, 2021

Recorded as BENJAMIN LICKTEIG

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2021

Chiropractor (license number reported to NPPES: MN 6790)

🟒
Initial NPI Registration & Enumeration March 10, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417532540
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2021
Last Update: August 08, 2024
Sole Proprietor: No

Other Chiropractors in Hudson

All Chiropractors in Hudson

Mailing Address

2910 Enloe St Ste 101

Hudson, WI 540164539

Phone: 7156902910

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.