Jeffrey Lee Wild in Sheboygan - Chiropractor
Jeffrey Lee Wild - NPI 1851419048
Jeffrey Lee Wild is a Chiropractor in Sheboygan, Wisconsin. Jeffrey Lee Wild practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeffrey Lee Wild is 1851419048. The last update date is 2019-03-18.
Jeffrey Lee Wild's current location address is 3411b Lakeshore Rd, Sheboygan, Wisconsin. You can contact this provider via phone number 9204588886 and fax number 9204581128. The mailing address for Jeffrey Lee Wild is 3411b Lakeshore Rd, Sheboygan, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeffrey Lee Wild |
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Address | 3411b Lakeshore Rd, Sheboygan, Wisconsin |
Phone Number | 9204588886 |
Fax Number | 9204581128 |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1851419048 |
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Provider Enumeration Date | 2007-03-26 |
Last Updated Date | 2019-03-18 |
Provider Mailing Address Detail
Address | 3411b Lakeshore Rd |
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City | Sheboygan |
State | Wisconsin (WI) |
Post Code | 530832902 |
Phone Number | 9204588886 |
Fax Number | 9204581128 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 2080-012 |
Definition: 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 inte |
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What is the unique identifier code issued to Jeffrey Lee Wild by the Centers for Medicare & Medicaid Services?
The Jeffrey Lee Wild has been assigned the NPI (National Provider Identifier) 1851419048. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jeffrey Lee Wild is geographically located?
The Jeffrey Lee Wild is physically situated at the following location: 3411B Lakeshore Rd, Sheboygan, WI, 530832902.
What is Jeffrey Lee Wild's area of expertise and its corresponding taxonomy classification?
The Jeffrey Lee Wild's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jeffrey Lee Wild receive its 1851419048 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey Lee Wild was assigned its 1851419048 by the Centers for Medicare & Medicaid Services on 2007-03-26.
As of what date were the details related to Jeffrey Lee Wild most recently updated or revised?
The information pertaining to Jeffrey Lee Wild, including its address, specialty, and other relevant details, was last updated or revised on 2019-03-18.
NPI Number: 1902809924
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