Wellness Data Solutions LLC

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

License

266731298 Issued in IL

Legal business name

WELLNESS DATA SOLUTIONS LLC

Doing business as

Wellness Data Solutions

Practice address

2002 Hedgewood Dr
Bloomington, IL 61704-2423

Phone

(573) 356-1880

NPI assigned

Jan 18, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Company, PHD

Title

Owner

Phone

(573) 356-1880

Specialties & licenses 1

Addresses

Other names 1

• Wellness Data Solutions Doing business as

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1518475003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 HEDGEWOOD DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042423",
            "telephone_number": "573-356-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HEDGEWOOD DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042423",
            "telephone_number": "573-356-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS DATA SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "COMPANY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-356-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "IL",
            "license": "266731298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Data Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Weiss Wellness & Chiropractic, LTD.
• Stephen Mark Weiss, D.C.
• Shari Joy Weitekamp, MA, CCC-SLP L
• Kassidy Weller, OTR/L
• Richard W Wellman, MD
• Wellness on the Horizon, LLC
• Megan Wendelschafer
• Kaitlyn Wenger, PA-C
• Ethan Weniger
• Rachael Elizabeth Wentworth, LPC

• Corporate Health Clinic/Center in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Corporate Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.