Wulff Chiropractic Inc.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

2692 Issued in MN

Legal business name

WULFF CHIROPRACTIC INC.

Doing business as

Brooklyn Park Chiropractic

Practice address

9678 Colorado LN N
Brooklyn Park, MN 55445-2385

Phone

(763) 391-9484

Fax

(763) 391-9425

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joel Bruce Wulff, D.C.

Title

President

Phone

(763) 391-9484

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Brooklyn Park Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1124215728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9678 COLORADO LN N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452385",
            "telephone_number": "763-391-9484",
            "fax_number": "763-391-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9678 COLORADO LN N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452385",
            "telephone_number": "763-391-9484",
            "fax_number": "763-391-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WULFF CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "WULFF",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-391-9484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "MN",
            "license": "2692",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "2692",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4C708CH",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4C708CH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooklyn Park Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darci Witasek, MA LMFT
• Solomon T Woldegiorgis, MD
• Stacey Lynn Wolfgram, MA, LMFT
• Woodland Familydentistry
• Mackenzie Worden, DC
• Joel B Wulff, D.C.
• Ingrid Ruth Wyckoff, APRN
• Charity Chue Xiong
• Joua Xiong, QP/SP
• Ker Xiong, MSW,LGSW

• Internist Chiropractor in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Internist Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.