Kornetzke, Jacob William

Kornetzke, Jacob William is an individual health care provider with primary practice located at 100 E Commerce Blvd , Slinger WI 53086-9748. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Kornetzke, Jacob William can be contacted via phone (262) 644-8488.

Contact Information

Primary practice address
100 E Commerce Blvd Slinger WI 53086-9748
Phone: (262) 644-8488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X 5279-12 Wisconsin

Profile Details

NPI number 1386170793
LBN Legal business name Kornetzke, Jacob William
Credentials D.C., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2017
Last updated May 4th, 2017 - about 9 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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