Boland, Kyle David

Boland, Kyle David is an sole proprietor health care provider with primary practice located at N4622 County Road M , West Salem WI 54669-9522. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Boland, Kyle David can be contacted via phone (608) 612-0777.

Contact Information

Primary practice address
N4622 County Road M West Salem WI 54669-9522
Phone: (608) 612-0777
Fax: (608) 807-5142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038011984 Illinois
Chiropractic Providers / Chiropractor 111N00000X 007563 Iowa
Chiropractic Providers / Chiropractor 111N00000X 4770012 Wisconsin

Profile Details

NPI number 1427338334
LBN Legal business name Boland, Kyle David
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2011
Last updated Jul 9th, 2024 - about 2 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 1427338334 NPPES
Wisconsin Other 1427338334 INDIVIDUAL NPI

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