Janovick, Charles Melvin

Janovick, Charles Melvin is an individual health care provider with primary practice located at 5919 Tower Ave , Superior WI 54880-7226. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Janovick, Charles Melvin can be contacted via phone (715) 398-8803.

Contact Information

Primary practice address
5919 Tower Ave Superior WI 54880-7226
Phone: (715) 398-8803
Fax: (715) 398-8804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2851-012 Wisconsin

Profile Details

NPI number 1225219892
LBN Legal business name Janovick, Charles Melvin
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2007
Last updated Nov 23rd, 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 1225219892 NPPES
Wisconsin Other 013R4JA BCBS
Wisconsin Other 2851-012 BCBS
Wisconsin MEDICAID 38866100 BCBS

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