Provider Demographics
NPI:1275577223
Name:WHEELER, BARBARA SUE (LAC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:SUE
Last Name:WHEELER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 BARTLETT CT
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-4810
Mailing Address - Country:US
Mailing Address - Phone:715-832-3801
Mailing Address - Fax:
Practice Address - Street 1:343 BARTLETT CT
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-4810
Practice Address - Country:US
Practice Address - Phone:715-832-3801
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI261-055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist