Sander, Bryan J

Sander, Bryan J 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. Sander, Bryan J 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
Fax: (608) 837-0633
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3587012 Wisconsin

Profile Details

NPI number 1780782599
LBN Legal business name Sander, Bryan J
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780782599 NPPES
Wisconsin MEDICAID 38911100

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