Jeffrey Bruce Wellum

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038006155 Issued in IL

Legal business name

JEFFREY BRUCE WELLUM

Doing business as

Wellum Chiropractic

Practice address

1602 Illinois Highway 1
Marshall, IL 62441-0303

Phone

(218) 826-8028

Fax

(217) 826-8195

NPI assigned

Jul 18, 2012

Last updated

Jul 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Bruce Wellum, D.C.NPI 1467451559

Title

Owner

Phone

(217) 826-8028

Specialties & licenses 1

Addresses

Other names 1

• Wellum Chiropractic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey B Wellum, D.C.

  • Chiropractor
  • Marshall, IL
  • NPI 1467451559
  NPD (past) Authorized official

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1861747628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "MARSHALL",
            "state": "IL",
            "postal_code": "624410303",
            "telephone_number": "217-826-8028",
            "fax_number": "217-826-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ILLINOIS HIGHWAY 1",
            "city": "MARSHALL",
            "state": "IL",
            "postal_code": "624410303",
            "telephone_number": "218-826-8028",
            "fax_number": "217-826-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY BRUCE WELLUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "WELLUM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-826-8028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellum Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• King Chiropractic Clinic, LTD. (King Chiropractic Clinic)
• William Lee King, DC
• Glenna V. Kreckman Hiett, L.M.F.T.
• Steven Macke, MD

• Chiropractor in Marshall, IL
• Providers in Marshall, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.