Blanck-Grott, Kellen

Blanck-Grott, Kellen is an sole proprietor health care provider with primary practice located at 709 Dyer St , Crivitz WI 54114. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Blanck-Grott, Kellen can be contacted via phone (715) 854-5025.

Contact Information

Primary practice address
709 Dyer St Crivitz WI 54114
Phone: (715) 854-5025
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5160-12 Wisconsin

Profile Details

NPI number 1306200472
LBN Legal business name Blanck-Grott, Kellen
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2016
Last updated Jul 12th, 2018 - about 8 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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