Wider Horizons LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5026-12 Issued in WI

Legal business name

WIDER HORIZONS LLC

Practice address

3800 N Mayfair Rd
Wauwatosa, WI 53222-2213

Phone

(414) 852-1330

NPI assigned

Feb 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca J Eberle, D.C.

Title

Owner

Phone

(414) 852-1330

Specialties & licenses 1

Addresses

Other names 1

• WIDER HORIZONS CHIROPRACTIC Doing business as

Locations

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1679965115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N MAYFAIR RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532222213",
            "telephone_number": "414-852-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N MAYFAIR RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532222213",
            "telephone_number": "414-852-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIDER HORIZONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "EBERLE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-852-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5026-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WIDER HORIZONS CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian A White, AA
• Victoria White, N.P
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• Wholistic Occupational Therapy LLC
• Mark T. Wichman, M.D.
• Michael E Widlansky, M.D.
• Timothy C. Wiedel, PHD
• Charlene Wiegand
• Wignall Kennedy Chiropractic Clinic SC
• Susan Wilbanks, PHD, ATC, CSCS

• Chiropractor in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.