Lance Albert Wulf, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4102 Issued in WI

Practice address

215 N Black River St
Sparta, WI 54656-1529

Phone

(608) 269-4511

Fax

(608) 269-8511

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiropractic Place LLCGroup PAC ID 0345461372, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chiropractic Place LLC

  • Chiropractor
  • Sparta, WI
  • NPI 1427457514
  Medicare reassignment Care Compare group NPD
• Wulf Chiropractic, LLC

  • Chiropractor
  • La Crosse, WI
  • NPI 1902960511
  NPD (past) Authorized official
• Allied Health of Wisconsin, SC

  • Chiropractor
  • Wausau, WI
  • NPI 1487605051
  NPD

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1811092091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S 32ND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013958",
            "telephone_number": "715-848-2526",
            "fax_number": "715-848-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N BLACK RIVER ST",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546561529",
            "telephone_number": "608-269-4511",
            "fax_number": "608-269-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULF",
        "first_name": "LANCE",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4102",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4663",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "051H2WU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "201803724",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38958900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMEPOS",
            "identifier": "5605960001",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE OF MINNESOTA",
            "identifier": "966462900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS",
            "identifier": "2018037247",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon M Williamson, OD
• Rose A Wolbrink, M.D.
• Jayme D Woodhouse, RN
• Derrick L Woodward, MD
• Rebecca L. Wright, RN
• Reghan Yourell, RRT
• Hailee Jean Zimmerman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.