Anderson, Renata M
Anderson, Renata M is an individual health care provider with primary practice located at 559 Braund St Ste 3, Onalaska WI 54650-8658. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Anderson, Renata M can be contacted via phone (608) 783-7735.Contact Information
Primary practice address
559 Braund St Ste 3
Onalaska WI 54650-8658
Phone: (608) 783-7735
Fax: (608) 783-7762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3615-012 | Wisconsin |
Profile Details
| NPI number | 1417053828 |
|---|---|
| LBN Legal business name | Anderson, Renata M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | May 19th, 2015 - about 11 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 | 1417053828 | NPPES |
| Wisconsin | Other | 350050305 | RAILROAD MEDICARE |
| Wisconsin | MEDICAID | 38924400 | RAILROAD MEDICARE |
| Wisconsin | Other | CB3715 | RAILROAD MEDICARE |
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