Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1306048822 Deactivated / Inactive NPI Male Practitioner

Dr. Glen R Ledvina , DC

Chiropractor • Crivitz, WI

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Glen Ledvina has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 05, 2007
NPI Deactivation Date September 04, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Glen Ledvina, DC was a registered Chiropractor practicing in Crivitz, WI. Throughout an active medical career spanning 17 years, Dr. Ledvina provided care at the practice location at 107 N HIGHWAY 141 until profile deactivation on 2024-09-04.

Practice Location & Contact Primary Location

Practice Address

107 N Highway 141

Crivitz, WI 541140008

Telephone 7158547073

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Crivitz, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Crivitz, WI (2664 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WI 2173-012

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated September 04, 2024

Record deactivated on September 04, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 107 N HIGHWAY 141, CRIVITZ, WI 541140008 (Tel: 7158547073)

📍
Updated Business Mailing Address July 08, 2007

Registered at 107 S HWY 141, PO BOX 8, CRIVITZ, WI 541140008 (Tel: 7158547073)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GLEN LEDVINA, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #2173-012 in WI)

🟢
Initial NPI Registration & Enumeration June 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Glen Ledvina. Be the first to share your experience!

Sign in to leave a review for Dr. Glen Ledvina

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1306048822
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2007
Last Update: July 08, 2007
Deactivation Date: September 04, 2024

Mailing Address

107 S Hwy 141, Po Box 8

Crivitz, WI 541140008

Phone: 7158547073

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.