National Provider Identifier Database

JIMMY A REIDT, DC – NPI #1508910514
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.


Contact Information

JIMMY A REIDT, DC
17 5TH AVE
SHELL LAKE, WI54871
Phone: 715-468-2275
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for JIMMY A REIDT

NPI Number 1508910514
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 01/23/2007
Last updated 06/21/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • MN License #: 3069
  • WI License #: 2861
  • WI Medicaid: 38867700
Hospital affiliation n/a

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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