Wagenknecht, Scott J

Wagenknecht, Scott J is an individual health care provider with primary practice located at 8405 W Forest Home Ave Ste 101, Greenfield WI 53228-3407. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wagenknecht, Scott J can be contacted via phone (414) 423-9225.

Contact Information

Primary practice address
8405 W Forest Home Ave Ste 101 Greenfield WI 53228-3407
Phone: (414) 423-9225
Fax: (414) 421-7516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3592 012 Wisconsin

Profile Details

NPI number 1952393910
LBN Legal business name Wagenknecht, Scott J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 17 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 1952393910 NPPES
Wisconsin MEDICAID 38925100

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