Provider Demographics
NPI:1508814328
Name:WENDELL, TODD STEVEN (DC)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:STEVEN
Last Name:WENDELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 IDAHO ST
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-3877
Mailing Address - Country:US
Mailing Address - Phone:775-777-3033
Mailing Address - Fax:775-777-3045
Practice Address - Street 1:618 IDAHO ST
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-3877
Practice Address - Country:US
Practice Address - Phone:775-777-3033
Practice Address - Fax:775-777-3045
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1083111N00000X
NVB01082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
V00937Medicare UPIN