Kroll, Christopher James

Kroll, Christopher James is an individual health care provider with primary practice located at 125A E Pine St , Lake Mills WI 53551-1103. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kroll, Christopher James can be contacted via phone (920) 648-6466.

Contact Information

Primary practice address
125A E Pine St Lake Mills WI 53551-1103
Phone: (920) 648-6466
Fax: (920) 648-4365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3422 Wisconsin

Profile Details

NPI number 1710986096
LBN Legal business name Kroll, Christopher James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Oct 13th, 2011 - about 13 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 1710986096 NPPES
Wisconsin MEDICAID 38943200
Wisconsin Other 391929487018

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