Reidt, Jimmy A
Reidt, Jimmy A is an sole proprietor health care provider with primary practice located at 17 5Th Ave , Shell Lake WI 54871. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Reidt, Jimmy A can be contacted via phone (715) 468-2275.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2861 | Wisconsin |
| Chiropractic Providers / Chiropractor | 111N00000X | 3069 | Minnesota |
Profile Details
| NPI number | 1508910514 |
|---|---|
| LBN Legal business name | Reidt, Jimmy A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jun 21st, 2013 - about 11 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 | 1508910514 | NPPES |
| Wisconsin | MEDICAID | 38867700 |
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