Fenander, Michael A
Fenander, Michael A is an individual health care provider with primary practice located at 2100 7Th St S , Wisconsin Rapids WI 54494-6017. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fenander, Michael A can be contacted via phone (715) 421-2200.Contact Information
Primary practice address
2100 7Th St S
Wisconsin Rapids WI 54494-6017
Phone: (715) 421-2200
Fax: (715) 421-2916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3812012 | Wisconsin |
Profile Details
| NPI number | 1104896869 |
|---|---|
| LBN Legal business name | Fenander, Michael A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Dec 7th, 2007 - about 18 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 | 1104896869 | NPPES |
| Wisconsin | MEDICAID | 38935700 |
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