Janovick, Charles Melvin
Janovick, Charles Melvin is an individual health care provider with primary practice located at 5919 Tower Ave , Superior WI 54880-7226. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Janovick, Charles Melvin can be contacted via phone (715) 398-8803.Contact Information
Primary practice address
5919 Tower Ave
Superior WI 54880-7226
Phone: (715) 398-8803
Fax: (715) 398-8804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2851-012 | Wisconsin |
Profile Details
| NPI number | 1225219892 |
|---|---|
| LBN Legal business name | Janovick, Charles Melvin |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2007 |
| Last updated | Nov 23rd, 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 | 1225219892 | NPPES |
| Wisconsin | Other | 013R4JA | BCBS |
| Wisconsin | Other | 2851-012 | BCBS |
| Wisconsin | MEDICAID | 38866100 | BCBS |
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