Doctor Name: | JANA RAE WUEBBELS |
NPI Number: | 1235450313 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 038011626 |
Business Practice Address: | 971 Eula Mae Pkwy Carlyle, IL - 622316400 |
Business Phone Number: | 6185943671 |
Business Fax Number: | |
Mailing Address: | 401 E Main St, DAMIANSVILLE |
State: | IL |
Postal Code: | 622151309 |
Phone Number: | 6185709640 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2010 |
NPI Last Update Date: | 06/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 038011626 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |