DR. WAYLAND JOHN LOOFBORO (NPI# 1457431363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457431363 |
| Entity Type | Individual |
| Full Name | DR. WAYLAND JOHN LOOFBORO |
| Credential | D.C. |
| Practice Address |
11038 W Capitol Dr Wauwatosa WI 53222-1111 |
| Practice Telephone | 4144611055 |
| Practice Fax Number | 4144611337 |
| Mailing Telephone | 4144611055 |
| Mailing Fax Number | 4144611337 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1327 | WI | Chiropractic Providers |
| Street Address |
11038 W CAPITOL DR |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53222-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215335047 | Rebecca Weidner | Chiropractor | 10625 W North Ave Ste Ll3, Wauwatosa, WI 53226-2315 | 2014-12-10 |
| 1508135708 | Wisconsin Pain & Rehab, LLC | Chiropractor | 2100 N Mayfair Rd, 201, Wauwatosa, WI 53226-2239 | 2011-12-19 |
| 1649411703 | Performance Chiropractic Center, S.c. | Chiropractor | 11430 W Bluemound Rd Ste 203, Wauwatosa, WI 53226-4050 | 2009-03-18 |
| 1265553275 | Olm Chiropractic Clinic Sc | Chiropractor | 7229 W Center Street, Wauwatosa, WI 53210-1126 | 2007-04-03 |
| 1336276625 | Apps Chiropractic and Wellness Center Inc | Chiropractor | 933 N Mayfair Rd Ste 107, Wauwatosa, WI 53226-3432 | 2007-02-27 |
| 1770619728 | Lana Marie Olm | Chiropractor | 7229 West Center Street, Wauwatosa, WI 53210-1126 | 2007-02-26 |
| 1851447759 | Dr Loofboro Sc | Chiropractor | 11038 W Capital Drive, Wauwatosa, WI 53222 | 2007-01-25 |
| 1467507160 | Dr. Liz Hood, S.c. | Chiropractor | 2645 N. Mayfair Rd., Suite 140, Wauwatosa, WI 53226-2239 | 2007-01-24 |
| 1093879819 | Christopher James Beyer | Chiropractor | 6331 W North Ave, Wauwatosa, WI 53213-2012 | 2006-12-19 |
| 1679634851 | Herbert E Kuehnemann | Chiropractor | 6610 W North Avenue, Wauwatosa, WI 53213 | 2006-12-12 |
| Find all providers in WAUWATOSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.