Rooyakkers, Wanda J

Rooyakkers, Wanda J is an individual health care provider with primary practice located at 702 Eisenhower Drive Suite G, Kimberly WI 54136. She 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 her primary health care specialty. Rooyakkers, Wanda J can be contacted via phone (920) 730-1155.

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2601 012 Wisconsin
Chiropractic Providers / Neurology 111NN0400X 2601 012 Wisconsin
Chiropractic Providers / Sports Physician 111NS0005X 2601 012 Wisconsin

Profile Details

NPI number 1770693681
LBN Legal business name Rooyakkers, Wanda J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 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 1770693681 NPPES
Wisconsin MEDICAID 38848800

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