Provider Demographics
NPI:1649499708
Name:WULFF, JOHN RONALD (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:RONALD
Last Name:WULFF
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:PO BOX 296
Mailing Address - Street 2:391 OTTERVILLE RD.
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-0296
Mailing Address - Country:US
Mailing Address - Phone:603-526-7031
Mailing Address - Fax:603-526-7031
Practice Address - Street 1:86 NEWPORT RD
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:NH
Practice Address - Zip Code:03256
Practice Address - Country:US
Practice Address - Phone:603-526-7031
Practice Address - Fax:603-526-7031
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH527-0498111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH493630OtherCIGNA
NH615733OtherUNITED HEALTHCARE
NH615733OtherUNITED HEALTHCARE