Gonsowski, Leo Raymond

Gonsowski, Leo Raymond is an individual health care provider with primary practice located at 471 S Arch Ave , New Richmond WI 54017-1832. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Gonsowski, Leo Raymond can be contacted via phone (715) 246-5600.

Contact Information

Primary practice address
471 S Arch Ave New Richmond WI 54017-1832
Phone: (715) 246-5600
Fax: (715) 246-5806
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 3847-012 Wisconsin

Profile Details

NPI number 1851389167
LBN Legal business name Gonsowski, Leo Raymond
Credentials DC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
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 1851389167 NPPES
Wisconsin Other 666234 CHIROCARE WISCONSIN
Wisconsin Other 2C933GO CHIROCARE WISCONSIN

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