MR. JEFFREY LEE WILD (NPI# 1851419048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851419048 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY LEE WILD |
| Credential | D.C. |
| Practice Address |
3411b Lakeshore Rd Sheboygan WI 53083-2902 |
| Practice Telephone | 9204588886 |
| Practice Fax Number | 9204581128 |
| Mailing Telephone | 9204588886 |
| Mailing Fax Number | 9204581128 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2019-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2080-12 | WI | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 2080-012 | WI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588820724 | Jeffrey L Wild | Surgery | 2401 S 31st St, C410a, Temple, TX 76508-0001 | 2008-08-06 |
| Street Address |
3411B LAKESHORE RD |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53083-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629341748 | Wendy Marie Kirst | Licensed Practical Nurse | 2639 North 9th Street, Sheboygan, WI 53083 | 2012-02-21 |
| 1194912493 | Assisted Living Concepts Inc | Assisted Living Facility | 1231 Eisner Avenue, Sheboygan, WI 53083 | 2007-10-01 |
| 1629265350 | David P Mayer | Dentist | 2705 N 8th Street, Sheboygan, WI 53083 | 2007-09-26 |
| 1760683510 | Ginger Adams | Physical Therapy Assistant | 3431 North 13th Street, Sheboygan, WI 53083 | 2007-05-30 |
| 1295947778 | Jodi Lynn Wagner | Occupational Therapist | 2629 North 7th Street, Sheboygan, WI 53083 | 2007-05-04 |
| 1306067491 | School District of Howards Grove | Local Education Agency (LEA) | 403 Audubon Road, Howards Grove, WI 53083 | 2007-05-02 |
| 1902023955 | Aurora Health Care Central, Inc. | Community/Behavioral Health | 2629 N 7th St., Sheboygan, WI 53083 | 2007-04-19 |
| 1497860498 | Charles J Gehring Jr. | Anesthesiology | 4945 Blackstock Rd, Sheboygan, WI 53083 | 2006-08-20 |
| 1760595300 | Tina Marie Ottman-boykin | Counselor | 2801 Calumet Drive, Sheboygan, WI 53083 | 2006-08-17 |
| 1588043186 | Abby M Safranski | Family Medicine | 620 S Wisconsin Dr, Howards Grove, WI 53083 | 2015-05-28 |
| Find all providers in zip 53083 | ||||
| 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 |
|---|---|---|---|---|
| 1457900367 | Optimal Health Chiropractic and Rehabilitation L.L.C. | Chiropractor | 529 Ontario Ave, Sheboygan, WI 53081-4151 | 2019-09-04 |
| 1609360973 | Megan Walters | Chiropractor | 2601 S Business Dr, Sheboygan, WI 53081-6101 | 2018-06-19 |
| 1689963472 | Kyle James Friederichs | Chiropractor | 620 Michigan Ave, Sheboygan, WI 53081-3042 | 2011-04-01 |
| 1801076872 | Creekside Chiropractic and Rehabilitation, Ltd. | Chiropractor | 4000 Enterprise Dr, Sheboygan, WI 53083-2245 | 2007-11-07 |
| 1558589218 | Ingolf K Bartels | Chiropractor | 2640 N 8th Street, Sheboygan, WI 53083-4921 | 2007-04-20 |
| 1912024811 | Better Life Chiropractic & Wellness Sc | Chiropractor | 2217 S Memorial Pl, Sheboygan, WI 53081-3715 | 2007-03-23 |
| 1417094368 | Kenneth S Heinen | Chiropractor | 1539 33rd Place, Suite B, Sheboygan, WI 53081-1826 | 2007-01-31 |
| 1841341906 | Richard T Knowles | Chiropractor | 1509 N 13th St, Sheboygan, WI 53081-2549 | 2007-01-16 |
| 1740331768 | John M Reitz | Chiropractor | 1517 S 12th St, Sheboygan, WI 53081 | 2007-01-16 |
| 1518018548 | Michael A Saatkamp | Chiropractor | 1320 N Taylor Dr, Sheboygan, WI 53081-3042 | 2007-01-16 |
| Find all providers in SHEBOYGAN | ||||
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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.