Provider Demographics
NPI:1760847198
Name:WOLFMEYER, BRITTANY JEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:JEAN
Last Name:WOLFMEYER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:IGWIKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1502 W HOMESTEAD TRL
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-3217
Mailing Address - Country:US
Mailing Address - Phone:414-364-0833
Mailing Address - Fax:
Practice Address - Street 1:4433 N OAKLAND AVE STE A
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-1600
Practice Address - Country:US
Practice Address - Phone:414-962-5483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-30
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5119-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1760847198OtherNPI