Dull, Ethan A.

Dull, Ethan A. is an individual health care provider with primary practice located at 2343 Silvernail Rd , Pewaukee WI 53072-5402. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Dull, Ethan A. can be contacted via phone (262) 542-4700.

Contact Information

Primary practice address
2343 Silvernail Rd Pewaukee WI 53072-5402
Fax: (262) 542-7499
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 3571 Wisconsin

Profile Details

NPI number 1699831909
LBN Legal business name Dull, Ethan A.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
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 1699831909 NPPES
Wisconsin MEDICAID 38922600

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