Boelte, Stuart John
Boelte, Stuart John is an sole proprietor health care provider with primary practice located at 1326 Royalton St , Waupaca WI 54981-1609. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Boelte, Stuart John can be contacted via phone (715) 258-8288.Contact Information
Primary practice address
1326 Royalton St
Waupaca WI 54981-1609
Phone: (715) 258-8288
Fax: (715) 258-7195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3156012 | Wisconsin |
Profile Details
| NPI number | 1710072418 |
|---|---|
| LBN Legal business name | Boelte, Stuart John |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 14th, 2010 - about 16 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 | 1710072418 | NPPES |
| Wisconsin | MEDICAID | 38885800 | |
| Wisconsin | Other | 613541 | |
| Wisconsin | Other | 62411 |
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