Theirl, Scott M
Theirl, Scott M is an sole proprietor health care provider with primary practice located at 1009 W Glen Oaks Ln Suite 207, Mequon WI 53092-3377. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Theirl, Scott M can be contacted via phone (800) 385-1655.Contact Information
Primary practice address
1009 W Glen Oaks Ln Suite 207
Mequon WI 53092-3377
Phone: (800) 385-1655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | #X009619 | New York |
| Chiropractic Providers / Neurology | 111NN0400X | 4227-012 | Wisconsin |
Profile Details
| NPI number | 1649327784 |
|---|---|
| LBN Legal business name | Theirl, Scott M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Apr 4th, 2017 - about 7 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 | 1649327784 | NPPES |
| Wisconsin | Other | WI1690 | MEDICARE PTAN |
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