JIMMY A REIDT, DC, Chiropractor SHELL LAKE, WI

Contact Information

JIMMY A REIDT, DC

17 5TH AVE
SHELL LAKE, WI 54871

Phone: 715-468-2275
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Chiropractor	111N00000X	35	Chiropractic

Indicates primary specialty

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NPI Profile & details for JIMMY A REIDT · (Male)

NPI #	`1508910514`
Status	Active
Credentials	DC (Doctor of Chiropractic)
Entity	Individual
Enumeration date	01/23/2007
Last updated	06/21/2013 - About 13 years ago
Sole proprietor ¹	Yes
Identifiers	MN License # 3069 WI License # 2861 WI Medicaid 38867700
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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