Daniels, Gregory Robert

Daniels, Gregory Robert is an individual health care provider with primary practice located at 2257 S 108Th St , West Allis WI 53227-1107. He recently has only one registered license in Chiropractic Providers / Independent Medical Examiner, which is considered as his primary health care specialty. Daniels, Gregory Robert can be contacted via phone (141) 432-7711.

Contact Information

Primary practice address
2257 S 108Th St West Allis WI 53227-1107
Phone: (141) 432-7711
Fax: (141) 432-7671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Independent Medical Examiner 111NI0013X 1931 Wisconsin

Profile Details

NPI number 1932326691
LBN Legal business name Daniels, Gregory Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
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 1932326691 NPPES
Wisconsin Other 1931 STATE LICENSE
Wisconsin MEDICAID 38784900 STATE LICENSE

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