Chisick, Richard Stanley

Chisick, Richard Stanley is an sole proprietor health care provider with primary practice located at 433 W Water St , Princeton WI 54968-9148. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Chisick, Richard Stanley can be contacted via phone (920) 295-6741.

Contact Information

Primary practice address
433 W Water St Princeton WI 54968-9148
Fax: (920) 295-6742
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3222-012 Wisconsin

Profile Details

NPI number 1720170715
LBN Legal business name Chisick, Richard Stanley
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Jul 9th, 2007 - about 19 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 1720170715 NPPES
Wisconsin Other 12400290 WPPN
Wisconsin MEDICAID 38888800 WPPN

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