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Contact Information

CHARLES D HOLLIS, LAC
4813 W NATIONAL AVE
MILWAUKEE, WI53214-3523
 Phone: 414-502-8235
 Fax: 414-921-9772
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for CHARLES D HOLLIS · (Male)

NPI # 1023761483
Status Active
Credentials LAC
Entity Individual
Enumeration date 01/26/2022
Last updated 04/19/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 1041-55
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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