Wildberg, Bradley Dale

Wildberg, Bradley Dale is an individual health care provider with primary practice located at 333 N 8Th St , Medford WI 54451-1515. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wildberg, Bradley Dale can be contacted via phone (715) 748-2334.

Contact Information

Primary practice address
333 N 8Th St Medford WI 54451-1515
Phone: (715) 748-2334
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1600-012 Wisconsin

Profile Details

NPI number 1528086311
LBN Legal business name Wildberg, Bradley Dale
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528086311 NPPES
Wisconsin MEDICAID 38764400
Wisconsin Other 38987200

Popular Providers