Organization Active NPI

Holmen Chiropractic Wellness Center, Inc

  • Clinic/Center
  • Holmen, WI
National Provider Identifier
1851590749
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3828-012 Issued in WI
Legal business name
HOLMEN CHIROPRACTIC WELLNESS CENTER, INC
Practice address
505 State St
Holmen, WI 54636-9189
Phone
(608) 526-3244
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Dr. Ted Wedul, DC
Title
Doctor of Chiropractic
Phone
(608) 526-3244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3828-012 WI Primary

Addresses

Primary practice location

505 State St
Holmen, WI 54636-9189

Mailing address

505 State St
Holmen, WI 54636-9189

National Provider Directory

National Provider Directory

Locations

106 S Holmen Dr
Ste 2
Holmen, WI 54636
Phone (608) 526-6888

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1851590749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 STATE ST",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 STATE ST",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369189",
            "telephone_number": "608-526-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMEN CHIROPRACTIC WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "WEDUL",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "608-526-3244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "3828-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmen, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.