Wilson Chiropractic & Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4978-12 Issued in WI

Legal business name

WILSON CHIROPRACTIC & WELLNESS LLC

Practice address

700 Highland Ave
Fort Atkinson, WI 53538-2749

Phone

(920) 542-1028

Fax

(920) 542-1027

NPI assigned

Apr 30, 2014

Organization subpart

No

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

Authorized official

Name

Stephanie Tronnes Wilson, D.C.

Title

Co-Owner

Phone

(920) 542-1028

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1538579453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HIGHLAND AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535382749",
            "telephone_number": "920-542-1028",
            "fax_number": "920-542-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HIGHLAND AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535382749",
            "telephone_number": "920-542-1028",
            "fax_number": "920-542-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON CHIROPRACTIC & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "TRONNES",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "920-542-1028",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4978-12",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4867-12",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert Turner Wentzien, LPC
• Bailey Jane Whiting, PT, DPT
• Sara Lynn Wilde, OTR
• Tracy Paul Wilde, PT
• Trisha Williams Obiweluozor, RN
• Brett Wilson, DO
• Stephanie Tronnes Wilson, D.C.
• Zach Wilson, D.C.
• Jennifer Ann Winter, MD
• Ernest Theodore Witzke, B.S., M.S.

• Chiropractor in Fort Atkinson, WI
• Providers in Fort Atkinson, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.