Misenheimer, William J

Misenheimer, William J is an sole proprietor health care provider with primary practice located at 221 W Broadway St , Monticello IN 47960-2001. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Occupational Health, Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Misenheimer, William J can be contacted via phone (574) 583-8890.

Contact Information

Primary practice address
221 W Broadway St Monticello IN 47960-2001
Phone: (574) 583-8890
Fax: (574) 583-8897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Occupational Health 111NX0100X 08001109A Indiana
Chiropractic Providers / Chiropractor 111N00000X 08001109A Indiana
Chiropractic Providers / Sports Physician 111NS0005X 08001109A Indiana

Profile Details

NPI number 1972525210
LBN Legal business name Misenheimer, William J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Mar 15th, 2021 - about 3 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 1972525210 NPPES
Indiana MEDICAID 100262770A

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