Draeger, David Dewaine

Draeger, David Dewaine is an individual health care provider with primary practice located at 5105 Hwy 70 W. , Eagle River WI 54521. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Draeger, David Dewaine can be contacted via phone (715) 479-5995.

Contact Information

Primary practice address
5105 Hwy 70 W. Eagle River WI 54521
Phone: (715) 479-5995
Fax: (715) 479-1617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3163012 Wisconsin
Chiropractic Providers / Chiropractor 111N00000X 3163 Michigan

Profile Details

NPI number 1114954971
LBN Legal business name Draeger, David Dewaine
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 15th, 2014 - about 10 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 1114954971 NPPES
Wisconsin MEDICAID 38884400
Wisconsin Other 110139656

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