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Contact Information

BREANNA R BALLWEG, D.C.
621 S GAMMON RD
MADISON, WI53719-1371
 Phone: 608-630-9040
 Fax: 608-630-9060
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BREANNA R BALLWEG · (Female)

NPI # 1467727826
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 03/19/2012
Last updated 08/16/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 4875-12
  • WI Medicaid 100022189
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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