Siemsen, Kurtis James
Siemsen, Kurtis James is an individual health care provider with primary practice located at 820 Geneva Pkwy N Ste 105 , Lake Geneva WI 53147-4562. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Siemsen, Kurtis James can be contacted via phone (262) 248-6700.Contact Information
Primary practice address
820 Geneva Pkwy N Ste 105
Lake Geneva WI 53147-4562
Phone: (262) 248-6700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301401215 | Michigan |
| Chiropractic Providers / Chiropractor | 111N00000X | 5621-12 | Wisconsin |
Profile Details
| NPI number | 1851977789 |
|---|---|
| LBN Legal business name | Siemsen, Kurtis James |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2021 |
| Last updated | Jan 28th, 2022 - about 2 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 | 1851977789 | NPPES |
| Wisconsin | MEDICAID | 1154510519 | |
| Wisconsin | Other | 1154510519 |
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