Davies-Kern, Jill Beth
Davies-Kern, Jill Beth is an sole proprietor health care provider with primary practice located at 709 S Oneida St Suite 3, Green Bay WI 54304-2475. She recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as her primary health care specialty. Davies-Kern, Jill Beth can be contacted via phone (920) 405-1010.Contact Information
Primary practice address
709 S Oneida St Suite 3
Green Bay WI 54304-2475
Phone: (920) 405-1010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Nutrition | 111NN1001X | 1841-012 | Wisconsin |
Profile Details
| NPI number | 1902935166 |
|---|---|
| LBN Legal business name | Davies-Kern, Jill Beth |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1902935166 | NPPES |
| Wisconsin | Other | 680625764016 | ANTHEM BLUE CROSS BLUE SH |
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