Bakke, Gregg Nelson

Bakke, Gregg Nelson is an individual health care provider with primary practice located at 312 East North Street Bakke Chiropractic Clinic Sc, Deforest WI 53532. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bakke, Gregg Nelson can be contacted via phone (608) 846-3333.

Contact Information

Primary practice address
312 East North Street Bakke Chiropractic Clinic Sc Deforest WI 53532
Phone: (608) 846-3333
Fax: (608) 846-7033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1460012 Wisconsin

Profile Details

NPI number 1689772485
LBN Legal business name Bakke, Gregg Nelson
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1689772485 NPPES
Wisconsin Other 391253374030 BLUE CROSS BLUE SHIELD
Wisconsin MEDICAID 38759100 BLUE CROSS BLUE SHIELD

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