Wulf Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4102 Issued in WI

Legal business name

WULF CHIROPRACTIC, LLC

Practice address

402 South 6TH Street
La Crosse, WI 54601-4505

Phone

(608) 782-2943

Fax

(609) 782-2947

NPI assigned

Dec 20, 2006

Last updated

Aug 22, 2020By 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. Lance Albert Wulf, D.C.NPI 1811092091

Title

Owner

Phone

(608) 782-2943

Specialties & licenses 2

Addresses

Other identifiers 6

Locations

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.

• Lance Albert Wulf, D.C.

  • Chiropractor
  • Sparta, WI
  • NPI 1811092091
  NPD (past) Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902960511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 SOUTH 6TH STREET",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014505",
            "telephone_number": "608-782-2943",
            "fax_number": "609-782-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SOUTH 6TH STREET",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014505",
            "telephone_number": "608-782-2943",
            "fax_number": "609-782-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WULF CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WULF",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-782-2943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4102",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4663",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38958900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "481967357005",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051H2WU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "120988",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAREDMEPOS",
            "identifier": "5605960001",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "668981",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Woychik, CNM
• Amanda Whitney Wright, MD
• Travis Wright, DO
• Albert Chienwei Wu
• Hailey Marie Wudi
• Katelynn Dora Wussow
• Leah Wyland
• Juliana E Wypyszynski, APNP
• Stephanie Wyrostek
• Khou Xiong, PA-C

• Chiropractor in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.