Cadwallader, Robert L

Cadwallader, Robert L is an individual health care provider with primary practice located at 1777 W Main St Ste 107 , Sun Prairie WI 53590-3100. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Cadwallader, Robert L can be contacted via phone (608) 318-2410.

Contact Information

Primary practice address
1777 W Main St Ste 107 Sun Prairie WI 53590-3100
Phone: (608) 318-2410
Fax: (608) 318-2412
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4350-012 Wisconsin
Chiropractic Providers / Chiropractor 111N00000X 1362 Tennessee

Profile Details

NPI number 1093709305
LBN Legal business name Cadwallader, Robert L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Mar 17th, 2018 - about 6 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 1093709305 NPPES
Tennessee Other 350050501 RAIL ROAD MEDICARE
Tennessee Other 3150790 RAIL ROAD MEDICARE
Tennessee MEDICAID 3679068 RAIL ROAD MEDICARE

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