Boots, James Robert

Boots, James Robert is an individual health care provider with primary practice located at 1020 Truman Street Suite B, Kimberly WI 54136. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Boots, James Robert can be contacted via phone (920) 997-9700.

Contact Information

Primary practice address
1020 Truman Street Suite B Kimberly WI 54136
Fax: (920) 997-0060
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2055012 Wisconsin

Profile Details

NPI number 1356417067
LBN Legal business name Boots, James Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356417067 NPPES
Wisconsin MEDICAID 38792900

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