Wildsong Wellness LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

55-830 Issued in WI

Legal business name

WILDSONG WELLNESS LLC

Practice address

5 E Eau Claire St
Rice Lake, WI 54868-1747

Phone

(715) 736-1014

Fax

(715) 736-1014

NPI assigned

Aug 19, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacqulyn Lauer-Glebov, LAX

Title

Acupuncturist

Phone

(715) 736-1014

Specialties & licenses 1

Addresses

Tax ID family

Wildsong Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wildsong Wellness

  • Acupuncturist
  • Rice Lake, WI
  • NPI 1154733822
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1083080527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2192 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081810",
            "telephone_number": "715-736-1014",
            "fax_number": "715-736-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E EAU CLAIRE ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681747",
            "telephone_number": "715-736-1014",
            "fax_number": "715-736-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDSONG WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "LAUER-GLEBOV",
        "authorized_official_first_name": "JACQULYN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "715-736-1014",
        "authorized_official_credential": "LAX"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": "55-830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Steven Western, RPH
• Jennifer Why, OTR
• Wild Rivers Chiropractic LLC
• Shelly Renee Wildenberg, MS, RD, CD
• Wildsong Wellness
• Rebecca Williams
• David Bruce Wilson, D.D.S.
• Kaley F. C. Wilson, NP
• Rebecca Wohlk
• Patrick A Wolf, DO

• Health Service Clinic/Center in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Health Service Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.