National Provider Identifier Database

GLEN E ROOYAKKERS, DC DACNB – NPI #1568572477
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

GLEN E ROOYAKKERS, DC DACNB
702 EISENHOWER DRIVE
SUITE G
KIMBERLY, WI54136
Phone: 920-730-1155
Fax: 920-730-1148
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X
Neurology 111NN0400X
Sports Physician 111NS0005X

* Indicates primary specialty

NPI Profile & details for GLEN E ROOYAKKERS

NPI Number 1568572477
Credentials DC DACNB
Entity Individual
Enumeration date 08/30/2006
Last updated 07/14/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 2603 012
  • WI Medicaid: 38848900
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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