Provider Demographics
NPI:1730180522
Name:WEMARK, SHEILA MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:MARIE
Last Name:WEMARK
Suffix:
Gender:F
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 62
Mailing Address - Street 2:112 CENTER STREET
Mailing Address - City:LIME SPRINGS
Mailing Address - State:IA
Mailing Address - Zip Code:52155-0062
Mailing Address - Country:US
Mailing Address - Phone:563-566-2686
Mailing Address - Fax:563-566-2686
Practice Address - Street 1:112 CENTER STREET
Practice Address - Street 2:
Practice Address - City:LIME SPRINGS
Practice Address - State:IA
Practice Address - Zip Code:52155-0062
Practice Address - Country:US
Practice Address - Phone:563-566-2686
Practice Address - Fax:563-566-2686
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06496111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA30703OtherBCBS
IA0272369Medicaid
IA30703OtherBCBS
U91856Medicare UPIN