Mcnabb, Brent R

Mcnabb, Brent R is an individual health care provider with primary practice located at 2205 N Sherman Ave , Madison WI 53704-3310. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mcnabb, Brent R can be contacted via phone (608) 244-0044.

Contact Information

Primary practice address
2205 N Sherman Ave Madison WI 53704-3310
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1579 Wisconsin

Profile Details

NPI number 1356313001
LBN Legal business name Mcnabb, Brent R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jul 9th, 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 1356313001 NPPES
Wisconsin Other 391545009014 BCBS
Wisconsin MEDICAID 38767300 BCBS

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