Engstrom, David Wayne
Engstrom, David Wayne is an individual health care provider with primary practice located at 1240 13Th Avenue , Grafton WI 53024. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Engstrom, David Wayne can be contacted via phone (262) 375-1470.Contact Information
Primary practice address
1240 13Th Avenue
Grafton WI 53024
Phone: (262) 375-1470
Fax: (262) 375-3580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1485 | Wisconsin |
Profile Details
| NPI number | 1417170846 |
|---|---|
| LBN Legal business name | Engstrom, David Wayne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417170846 | NPPES |
| Wisconsin | MEDICAID | 38762500 |
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