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
Fax: (920) 748-3642
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063483048 NPPES
Wisconsin MEDICAID 38901800
Wisconsin Other 391431452013

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