Doctor Name: | DR. WADE BEMIS |
NPI Number: | 1588055503 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 5062-12 |
Business Practice Address: | 220 S Business Park Dr Unit A-4 Oostburg, WI - 530701585 |
Business Phone Number: | 9205646061 |
Business Fax Number: | |
Mailing Address: | N1614 Hwy 28, ADELL |
State: | WI |
Postal Code: | 530011369 |
Phone Number: | 9208890555 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2015 |
NPI Last Update Date: | 02/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 5062-12 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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. |