DR. LANCE ALBERT WULF (NPI# 1811092091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811092091 |
| Entity Type | Individual |
| Full Name | DR. LANCE ALBERT WULF |
| Credential | D.C. |
| Practice Address |
215 N Black River St Sparta WI 54656-1529 |
| Mailing Address |
601 S 32nd Ave Wausau WI 54401-3958 |
| Practice Telephone | 6082694511 |
| Practice Fax Number | 6082698511 |
| Mailing Telephone | 7158482526 |
| Mailing Fax Number | 7158482225 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2011-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 4663 | MN | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 4102 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MCARE OF MINNESOTA | 966462900 | 01 |
| WI | WPS | 2018037247 | 01 |
| MN | BLUE CROSS BLUE SHEILD | 051H2WU | 01 |
| WI | MEDICARE DMEPOS | 5605960001 | 01 |
| WI | 38958900 | 05 | |
| WI | UNITED HEALTH CARE | 201803724 | 01 |
| Street Address |
215 N BLACK RIVER ST |
| City | SPARTA |
| State | WI |
| Zip Code | 54656-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487606935 | John Lodico Jr. | Chiropractor | 215 N Black River St, Sparta, WI 54656-1529 | 2006-05-16 |
| 1740234509 | John James Anderson | Chiropractor | 215 N Black River St, Sparta, WI 54656-1529 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929279 | Jennifer Johnson | Physical Therapy Assistant | 14345 County Hwy B, Sparta, WI 54656 | 2016-09-01 |
| 1578019899 | M&t Performance Chiropractic, LLC | Chiropractor | 213 N Black River St, Sparta, WI 54656 | 2016-08-28 |
| 1801223003 | Emily M Nolte | Counselor | 112 S Court St. Room 3000, Sparta, WI 54656 | 2013-10-02 |
| 1518254945 | Therapeutic Home Services | Point of Service | 9484 Festival Avenue, Sparta, WI 54656 | 2011-07-06 |
| 1639488273 | Rebecca Ann Frey | Reflexologist | 5680 Canary Ave, Sparta, WI 54656 | 2010-09-30 |
| 1316276660 | Gary J Korthals | Pharmacist | 201 S. Water St, Sparta, WI 54656 | 2009-12-16 |
| 1689847329 | Donald N. La Force | Hearing Instrument Specialist | 117 West Oak St, Sparta, WI 54656 | 2008-04-02 |
| 1164400503 | Alice M Bachop | Nurse Practitioner | 310 West Main Street, Sparta, WI 54656 | 2006-01-05 |
| 1578540894 | Marc D Tumerman | Family Medicine | 310 West Main St, Sparta, WI 54656 | 2005-12-28 |
| 1003398488 | Ariel Dawn Ferdock | Pharmacist | 310 W Main St, Sparta, WI 54656 | 2018-09-03 |
| Find all providers in zip 54656 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942709787 | Bernadette Ann Vallorosi | Chiropractor | 53 Sparta Ave, Sparta, NJ 07871-1814 | 2018-02-07 |
| 1558872366 | John Richard Kopp | Chiropractor | 415 W Wisconsin St Ste 4, Sparta, WI 54656-2493 | 2017-10-19 |
| 1578019899 | M&t Performance Chiropractic, LLC | Chiropractor | 213 N Black River St, Sparta, WI 54656 | 2016-08-28 |
| 1407224389 | Chiropractic Health Clinic of Sparta, LLC | Chiropractor | 33 Woodport Rd, Sparta, NJ 07871-2431 | 2015-09-09 |
| 1104161744 | Heath Gilman Foster | Chiropractor | 9 Cook St, Sparta, TN 38583-1570 | 2012-12-09 |
| 1346534039 | Lynnmarie Skipper Leyder | Chiropractor | 542 S State St, Sparta, MI 49345-1547 | 2011-05-31 |
| 1811223050 | Freeland Chiropractic Center P.C. | Chiropractor | 200 East Division Street, Sparta, MI 49345 | 2009-10-22 |
| 1851521421 | Daniel William Scarffe | Chiropractor | 450 S State St, Suite 1, Sparta, MI 49345-1582 | 2009-07-17 |
| 1710176672 | Pine Cone Chiropractic | Chiropractor | 10 Pine Cone Lane, Sparta, NJ 07871-2302 | 2007-10-17 |
| 1831318641 | Robert Duane Klingensmith | Chiropractor | 771 S Main St, Sparta, NC 28675 | 2007-04-24 |
| Find all providers in SPARTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.