Kirk, Eric J

Kirk, Eric J is an individual health care provider with primary practice located at 205 Valley Ave , West Bend WI 53095-5312. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kirk, Eric J can be contacted via phone (262) 338-1123.

Contact Information

Primary practice address
205 Valley Ave West Bend WI 53095-5312
Phone: (262) 338-1123
Fax: (262) 338-7684
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3052-012 Wisconsin

Profile Details

NPI number 1508973033
LBN Legal business name Kirk, Eric J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Dec 1st, 2021 - about 4 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 1508973033 NPPES
Wisconsin MEDICAID 38879400

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