Neidert, William Konrad

Neidert, William Konrad is an individual health care provider with primary practice located at 1515 Portage St Nw Suite C, North Canton OH 44720-2290. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Neidert, William Konrad can be contacted via phone (330) 499-1518.

Contact Information

Primary practice address
1515 Portage St Nw Suite C North Canton OH 44720-2290
Fax: (330) 499-7385
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X 1033 Ohio

Profile Details

NPI number 1134215767
LBN Legal business name Neidert, William Konrad
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 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 1134215767 NPPES
Ohio MEDICAID 0549366

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