Davis, Bruce Allen
Davis, Bruce Allen is an sole proprietor health care provider with primary practice located at 154 E 5Th St , Neillsville WI 54656. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Davis, Bruce Allen can be contacted via phone (715) 743-3404.Contact Information
Primary practice address
154 E 5Th St
Neillsville WI 54656
Phone: (715) 743-3404
Fax: (715) 743-4999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2082 | Wisconsin |
Profile Details
| NPI number | 1952396640 |
|---|---|
| LBN Legal business name | Davis, Bruce Allen |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Mar 29th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952396640 | NPPES |
| Wisconsin | MEDICAID | 38795300 |
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