Jaecks, Carissa Marie
Jaecks, Carissa Marie is an individual health care provider with primary practice located at 1620 N Shawano St Ste E, New London WI 54961-9318. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Jaecks, Carissa Marie can be contacted via phone (920) 982-5533.Contact Information
Primary practice address
1620 N Shawano St Ste E
New London WI 54961-9318
Phone: (920) 982-5533
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4599-12 | Wisconsin |
Profile Details
| NPI number | 1104133867 |
|---|---|
| LBN Legal business name | Jaecks, Carissa Marie |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2010 |
| Last updated | Dec 1st, 2017 - about 7 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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