Soderholm, Daniel J

Soderholm, Daniel J is an individual health care provider with primary practice located at 2205 N Sherman Ave , Madison WI 53704-3310. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Soderholm, Daniel J can be contacted via phone (608) 244-0044.

Contact Information

Primary practice address
2205 N Sherman Ave Madison WI 53704-3310
Phone: (608) 244-0044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1692 Wisconsin

Profile Details

NPI number 1346212099
LBN Legal business name Soderholm, Daniel J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Sep 23rd, 2011 - about 13 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 1346212099 NPPES
Wisconsin Other 391545009014 BCBS
Wisconsin Other 391545009 BCBS
Wisconsin MEDICAID 38777500 BCBS

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