Vangoethem, Carli Marie

Vangoethem, Carli Marie is an sole proprietor health care provider with primary practice located at 402 Ellis St , Kewaunee WI 54216-1329. She recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Nutrition, Chiropractic Providers / Radiology. Chiropractic Providers / Chiropractor is her primary health care specialty. Vangoethem, Carli Marie 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:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 114461 Iowa
Chiropractic Providers / Nutrition 111NN1001X 5778-12 Wisconsin
Chiropractic Providers / Radiology 111NR0200X 5778-12 Wisconsin
Chiropractic Providers / Chiropractor 111N00000X 5778-12 Wisconsin

Profile Details

NPI number 1306583687
LBN Legal business name Vangoethem, Carli Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2022
Last updated Mar 15th, 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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