Stephanie Lynn Vandewettering, D.C.
Individual provider Active NPI Chiropractor · Appleton, WI
NPI 1679962161 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1679962161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5066-12 (WI)
- Practice address
- 1620 S Lawe St Ste 2
Appleton, WI 54915-2420 - Phone
- (920) 243-7140
- Fax
- (877) 346-6682
- NPI assigned
- Jan 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5066-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbott Family Chiropractic, S.C. | Chiropractor | Current |
Accepting new patients |
Locations
1620 S Lawe St
Ste 2
Appleton, WI 54915
Phone (920) 243-7140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5066-12 | WI | Yes |
Addresses
Primary practice location
1620 S Lawe St Ste 2
Appleton, WI 54915-2420
Mailing address
1620 S Lawe St Ste 2
Appleton, WI 54915-2420
Phone (920) 243-7140
Other practice location 1
N1739 Lily Of The Valley Dr Ste 1
Greenville, WI 54942-9104
Phone (920) 757-6440
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.