Wysocki, Glenn R

Wysocki, Glenn R is an sole proprietor health care provider with primary practice located at 7537 22Nd Avenue , Kenosha WI 53143-5701. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Orthopedic. Chiropractic Providers / Orthopedic is his primary health care specialty. Wysocki, Glenn R can be contacted via phone (262) 652-3100.

Contact Information

Primary practice address
7537 22Nd Avenue Kenosha WI 53143-5701
Phone: (262) 652-3100
Fax: (262) 652-3100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1512 Wisconsin
Chiropractic Providers / Orthopedic 111NX0800X 1512 Wisconsin

Profile Details

NPI number 1215064597
LBN Legal business name Wysocki, Glenn R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Dec 9th, 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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