Rooyakkers, Glen E

Rooyakkers, Glen E is an individual health care provider with primary practice located at 702 Eisenhower Drive Suite G, Kimberly WI 54136. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Neurology, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Rooyakkers, Glen E can be contacted via phone (920) 730-1155.

Contact Information

Primary practice address
702 Eisenhower Drive Suite G Kimberly WI 54136
Phone: (920) 730-1155
Fax: (920) 730-1148
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2603 012 Wisconsin
Chiropractic Providers / Neurology 111NN0400X 2603 012 Wisconsin
Chiropractic Providers / Sports Physician 111NS0005X 2603 012 Wisconsin

Profile Details

NPI number 1568572477
LBN Legal business name Rooyakkers, Glen E
Credentials DC DACNB
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 14th, 2010 - about 14 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 1568572477 NPPES
Wisconsin MEDICAID 38848900

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