Zack, Michael Brandon
Zack, Michael Brandon is an individual health care provider with primary practice located at 10532 N Port Washington Rd , Mequon WI 53092-5563. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Zack, Michael Brandon can be contacted via phone (262) 240-1600.Contact Information
Primary practice address
10532 N Port Washington Rd
Mequon WI 53092-5563
Phone: (262) 240-1600
Fax: (262) 240-1602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4134-012 | Wisconsin |
Profile Details
| NPI number | 1760599013 |
|---|---|
| LBN Legal business name | Zack, Michael Brandon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Nov 15th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760599013 | NPPES |
| Wisconsin | MEDICAID | 38967100 |
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