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Contact Information

WINNEBAGO WELLNESS LLC
102 N 13TH AVE
WINNECONNE, WI54986
 Phone: 920-385-9499
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for WINNEBAGO WELLNESS LLC · (Female)

NPI Number 1568173326
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2022
Last updated 03/14/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI Medicaid 1164820155
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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