OrganizationActive
Healthsource of Bangor S C
NPI 1912167057 · Chiropractor · Bangor, WI
Healthsource of Bangor S C is a Chiropractor organization in Bangor, WI (NPI 1912167057).
Provider details
- NPI number
- 1912167057
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Jack Manzella, Doctor of Chiropractic(608) 486-4899
- License
- 2555 (WI)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1505 Commercial St
Bangor, WI 54614-0410
Phone: (608) 486-4899
Fax: (608) 486-4661
Street-level locationGet directions
Mailing address
Po Box 410
Bangor, WI 54614-0410
Registry dates
- Enumerated
- 2008-06-12
- Last updated
- 2008-06-12
Frequently asked questions
- What is Healthsource of Bangor S C's NPI number?
- Healthsource of Bangor S C's National Provider Identifier (NPI) is 1912167057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Healthsource of Bangor S C?
- Healthsource of Bangor S C is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Healthsource of Bangor S C located?
- Healthsource of Bangor S C's practice location on file with NPPES is 1505 Commercial St, Bangor, WI 54614-0410.
- What is Healthsource of Bangor S C's phone number?
- The practice phone number listed in the NPPES registry for Healthsource of Bangor S C is (608) 486-4899.
- Who is the authorized official for Healthsource of Bangor S C?
- The authorized official listed on Healthsource of Bangor S C's NPPES record is Jack Manzella, Doctor of Chiropractic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Healthsource of Bangor S C's NPI active?
- Yes — Healthsource of Bangor S C's NPI (1912167057) is active in the NPPES registry as of the last update on 2008-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.