Sims, Braden M

Sims, Braden M is an individual health care provider with primary practice located at 205 Valley Ave , West Bend WI 53095-5312. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Student, Health Care / Student in an Organized Health Care Education/Training Program. Chiropractic Providers / Chiropractor is his primary health care specialty. Sims, Braden M can be contacted via phone (262) 338-1123.

Contact Information

Primary practice address
205 Valley Ave West Bend WI 53095-5312
Phone: (262) 338-1123
Fax: (262) 338-7169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08003218A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Chiropractic Providers / Chiropractor 111N00000X 6002 Wisconsin

Profile Details

NPI number 1063002376
LBN Legal business name Sims, Braden M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2021
Last updated Jan 30th, 2023 - about last year

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 1063002376 NPPES
Wisconsin MEDICAID 100217955

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