Sivret, Charles L

Sivret, Charles L is an individual health care provider with primary practice located at 402 Ellis St , Kewaunee WI 54216-1329. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sivret, Charles L can be contacted via phone (920) 388-4499.

Contact Information

Primary practice address
402 Ellis St Kewaunee WI 54216-1329
Phone: (920) 388-4499
Fax: (920) 388-4499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1807-012 Wisconsin

Profile Details

NPI number 1154321214
LBN Legal business name Sivret, Charles L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Feb 11th, 2020 - about 4 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 1154321214 NPPES
Wisconsin Other 000235937 MEDICARE PTAN
Wisconsin MEDICAID 38777700 MEDICARE PTAN

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