Maedke, Richard Charles
Maedke, Richard Charles is an sole proprietor health care provider with primary practice located at 1410 E Capitol Dr , Shorewood WI 53211-1901. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Maedke, Richard Charles can be contacted via phone (414) 906-8081.Contact Information
Primary practice address
1410 E Capitol Dr
Shorewood WI 53211-1901
Phone: (414) 906-8081
Fax: (414) 906-8093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2789-012 | Wisconsin |
Profile Details
| NPI number | 1124176268 |
|---|---|
| LBN Legal business name | Maedke, Richard Charles |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124176268 | NPPES |
| Wisconsin | MEDICAID | 38866900 |
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