Berres, George William

Berres, George William is an individual health care provider with primary practice located at 617 Main St , Colfax WI 54730-9148. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Berres, George William can be contacted via phone (715) 962-3225.

Contact Information

Primary practice address
617 Main St Colfax WI 54730-9148
Phone: (715) 962-3225
Fax: (715) 962-3225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 2087 Wisconsin

Profile Details

NPI number 1720046428
LBN Legal business name Berres, George William
Credentials D.C.,C.C.S.P.
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jul 9th, 2007 - about 18 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 1720046428 NPPES
Wisconsin MEDICAID 38793900

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