Boland, Kyle David
Boland, Kyle David is an sole proprietor health care provider with primary practice located at N4622 County Road M , West Salem WI 54669-9522. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Boland, Kyle David can be contacted via phone (608) 612-0777.Contact Information
Primary practice address
N4622 County Road M
West Salem WI 54669-9522
Phone: (608) 612-0777
Fax: (608) 807-5142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038011984 | Illinois |
| Chiropractic Providers / Chiropractor | 111N00000X | 007563 | Iowa |
| Chiropractic Providers / Chiropractor | 111N00000X | 4770012 | Wisconsin |
Profile Details
| NPI number | 1427338334 |
|---|---|
| LBN Legal business name | Boland, Kyle David |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2011 |
| Last updated | Jul 9th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427338334 | NPPES |
| Wisconsin | Other | 1427338334 | INDIVIDUAL NPI |
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