Nordhagen, Bruce Carl
Nordhagen, Bruce Carl is an individual health care provider with primary practice located at 715 West Main Street Bakke Chiropractic Clinic Sc, Sun Prairie WI 53590. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Nordhagen, Bruce Carl can be contacted via phone (608) 837-7600.Contact Information
Primary practice address
715 West Main Street Bakke Chiropractic Clinic Sc
Sun Prairie WI 53590
Phone: (608) 837-7600
Fax: (608) 837-0633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1310012 | Wisconsin |
Profile Details
| NPI number | 1023116837 |
|---|---|
| LBN Legal business name | Nordhagen, Bruce Carl |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023116837 | NPPES |
| Wisconsin | MEDICAID | 38826600 |
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