Dahlke, Amy M
Dahlke, Amy M is an sole proprietor health care provider with primary practice located at 1027 S 17Th Ave Ste C , Wausau WI 54401-5761. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Dahlke, Amy M can be contacted via phone (153) 559-0097.Contact Information
Primary practice address
1027 S 17Th Ave Ste C
Wausau WI 54401-5761
Phone: (153) 559-0097
Fax: (715) 298-0841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3638-012 | Wisconsin |
Profile Details
| NPI number | 1164535175 |
|---|---|
| LBN Legal business name | Dahlke, Amy M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Feb 5th, 2021 - about 5 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 | 1164535175 | NPPES |
| Wisconsin | MEDICAID | 389-23000 |
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