Debra A Welser, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-006613 Issued in IL

Practice address

630 Terra West Dr
Freeport, IL 61032-4536

Phone

(815) 235-7858

Fax

(815) 235-7913

NPI assigned

Jul 31, 2006

Last updated

Jun 17, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Debra A Wildermuth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1922014844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 TERRA WEST DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324536",
            "telephone_number": "815-235-7858",
            "fax_number": "815-235-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 TERRA WEST DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324536",
            "telephone_number": "815-235-7858",
            "fax_number": "815-235-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSER",
        "first_name": "DEBRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-006613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "WILDERMUTH",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Way Chiropractic PLLC
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• Cindy Welch
• Stephen Welch, M.D.
• Janis K Welcher, PTA
• Gina Wenger, PHARM D
• Linda K Werkheiser, RD
• Kerrylyn Whalen Rodriguez, RPH
• Allan White, QMRP
• Marliss Anne White, D.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.