Davies-Kern, Jill Beth

Davies-Kern, Jill Beth is an sole proprietor health care provider with primary practice located at 709 S Oneida St Suite 3, Green Bay WI 54304-2475. She recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as her primary health care specialty. Davies-Kern, Jill Beth can be contacted via phone (920) 405-1010.

Contact Information

Primary practice address
709 S Oneida St Suite 3 Green Bay WI 54304-2475
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X 1841-012 Wisconsin

Profile Details

NPI number 1902935166
LBN Legal business name Davies-Kern, Jill Beth
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 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 1902935166 NPPES
Wisconsin Other 680625764016 ANTHEM BLUE CROSS BLUE SH

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