Zastrow, Michael Lawrence

Zastrow, Michael Lawrence is an individual health care provider with primary practice located at 2920 S Webster Ave Suite B, Green Bay WI 54301-1594. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Zastrow, Michael Lawrence can be contacted via phone (920) 339-9774.

Contact Information

Primary practice address
2920 S Webster Ave Suite B Green Bay WI 54301-1594
Phone: (920) 339-9774
Fax: (920) 339-9764
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1813-012 Wisconsin

Profile Details

NPI number 1275586075
LBN Legal business name Zastrow, Michael Lawrence
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Dec 19th, 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 1275586075 NPPES
Wisconsin Other 38998500 MEDICAID CLINIC NUMBER
Wisconsin MEDICAID 38777600 MEDICAID CLINIC NUMBER

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