Damrow, James Mark

Damrow, James Mark is an individual health care provider with primary practice located at 3628 Ridge Dr , Janesville WI 53548-5837. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Damrow, James Mark can be contacted via phone (608) 754-3696.

Contact Information

Primary practice address
3628 Ridge Dr Janesville WI 53548-5837
Phone: (608) 754-3696
Fax: (608) 754-0782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2877-12 Wisconsin

Profile Details

NPI number 1821151952
LBN Legal business name Damrow, James Mark
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Jul 9th, 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 1821151952 NPPES
Wisconsin MEDICAID 38908900

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