Ponick, Todd

Ponick, Todd is an sole proprietor health care provider with primary practice located at 9520 County Highway H , Stanley WI 54768. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Ponick, Todd can be contacted via phone (715) 644-5428.

Contact Information

Primary practice address
9520 County Highway H Stanley WI 54768
Fax: (715) 644-5486
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 2802 Wisconsin

Profile Details

NPI number 1417964826
LBN Legal business name Ponick, Todd
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 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 1417964826 NPPES
Wisconsin MEDICAID 38861300

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