Wac, Inc.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

WAC, INC.

Doing business as

Wisconsin Athletic Club, Inc.

Practice address

10840 W Rogers St
West Allis, WI 53227-1135

Phone

(414) 328-1300

Fax

(414) 328-2640

NPI assigned

Jan 20, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Raymond K. O'Connor

Title

Owner

Phone

(414) 328-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wisconsin Athletic Club, Inc. Doing business as

Locations

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1588801047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 W ROGERS ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271135",
            "telephone_number": "414-328-1300",
            "fax_number": "414-328-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 W ROGERS ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271135",
            "telephone_number": "414-328-1300",
            "fax_number": "414-328-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-328-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPT OF LABOR FECA",
            "identifier": "349496800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisconsin Athletic Club, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Voss
• Vpa PC
• Vpa PC
• Anthony Vu, PHARMD
• Eduards J Vucins, M.D.
• Heidi Wacker
• Amanda Wade, RN
• Elizabeth M Wagner
• Brittany J Wahhab
• Emily Waite, APSW

• Athletic Trainer in West Allis, WI
• Providers in West Allis, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.