Edinger, Mark S
Edinger, Mark S is an individual health care provider with primary practice located at 404 Eureka St , Ripon WI 54971-1192. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Edinger, Mark S can be contacted via phone (920) 748-3644.Contact Information
Primary practice address
404 Eureka St
Ripon WI 54971-1192
Phone: (920) 748-3644
Fax: (920) 748-3642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 3441 | Wisconsin |
Profile Details
| NPI number | 1063483048 |
|---|---|
| LBN Legal business name | Edinger, Mark S |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Mar 7th, 2011 - about 13 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 | 1063483048 | NPPES |
| Wisconsin | MEDICAID | 38901800 | |
| Wisconsin | Other | 391431452013 |
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