Belville, Kent Lydell

Belville, Kent Lydell is an individual health care provider with primary practice located at 440 N. Koeller St. , Oshkosh WI 54903-2525. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Belville, Kent Lydell can be contacted via phone (920) 233-2828.

Contact Information

Primary practice address
440 N. Koeller St. Oshkosh WI 54903-2525
Fax: (920) 232-2829
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1928-012 Wisconsin

Profile Details

NPI number 1700801446
LBN Legal business name Belville, Kent Lydell
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Mar 30th, 2017 - about 9 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 1700801446 NPPES
Wisconsin MEDICAID 38794200

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