Fedewa, Duane Michael
Fedewa, Duane Michael is an sole proprietor health care provider with primary practice located at 719 Vine St , Wisconsin Dells WI 53965-1621. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fedewa, Duane Michael can be contacted via phone (608) 254-4731.Contact Information
Primary practice address
719 Vine St
Wisconsin Dells WI 53965-1621
Phone: (608) 254-4731
Fax: (605) 253-9257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3031 | Wisconsin |
Profile Details
| NPI number | 1962610949 |
|---|---|
| LBN Legal business name | Fedewa, Duane Michael |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2007 |
| Last updated | Mar 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962610949 | NPPES |
| Wisconsin | Other | 350038138 | RAILROAD MEDICARE |
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