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Contact Information

OPTIMA NATURAL HEALTH & WELLNESS, LLC
1320 2ND AVE
CUMBERLAND, WI54829
 Phone: 715-822-2500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for OPTIMA NATURAL HEALTH WELLNESS LLC · (Female)

NPI # 1497082663
Status Active
Credentials
Entity Individual
Enumeration date 11/10/2009
Last updated 11/10/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 4251-012
  • WI Medicaid 38186000
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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