Wild Willow Natural Medicine Llc

LBN: Wild Willow Natural Medicine Llc
Wild Willow Natural Medicine Llc is an health care organization with primary practice located at W314N720 Highway 83 , Delafield WI 53018-2900. The organization recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as the primary health care specialty. Wild Willow Natural Medicine Llc can be contacted via phone (262) 706-5668, or through Dotto, Jennifer May via phone (262) 706-5668.

Contact Information

Primary practice address
W314N720 Highway 83 Delafield WI 53018-2900
Phone: (262) 706-5668
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dotto, Jennifer May Doctor of Chiropractic (DC)
Phone: (262) 706-5668

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X

Profile Details

NPI number 1821636929
LBN Legal business name Wild Willow Natural Medicine Llc
DBA Doing business as
Authorized official Dotto, Jennifer May Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2019
Last updated Jan 16th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821636929 NPPES
Wisconsin MEDICAID 1215989165

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