Dirker, Joe Alan

Dirker, Joe Alan is an sole proprietor health care provider with primary practice located at 909 S Taylor Dr , Sheboygan WI 53081-4766. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dirker, Joe Alan can be contacted via phone (920) 451-7000.

Contact Information

Primary practice address
909 S Taylor Dr Sheboygan WI 53081-4766
Fax: (920) 451-7100
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3361 Wisconsin

Profile Details

NPI number 1356340418
LBN Legal business name Dirker, Joe Alan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated Apr 18th, 2012 - about 14 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 1356340418 NPPES
Wisconsin MEDICAID 38939900

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