Ghojallu, Hutan
Ghojallu, Hutan is an individual health care provider with primary practice located at 10033 N Port Washington Rd , Mequon WI 53092-5799. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ghojallu, Hutan can be contacted via phone (262) 240-0136.Contact Information
Primary practice address
10033 N Port Washington Rd
Mequon WI 53092-5799
Phone: (262) 240-0136
Fax: (262) 240-0139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3228 | Wisconsin |
Profile Details
| NPI number | 1841247715 |
|---|---|
| LBN Legal business name | Ghojallu, Hutan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Jul 8th, 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 | 1841247715 | NPPES |
| Wisconsin | MEDICAID | 38893100 |
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