Kroll, Christopher James
Kroll, Christopher James is an individual health care provider with primary practice located at 125A E Pine St , Lake Mills WI 53551-1103. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kroll, Christopher James can be contacted via phone (920) 648-6466.Contact Information
Primary practice address
125A E Pine St
Lake Mills WI 53551-1103
Phone: (920) 648-6466
Fax: (920) 648-4365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3422 | Wisconsin |
Profile Details
| NPI number | 1710986096 |
|---|---|
| LBN Legal business name | Kroll, Christopher James |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Oct 13th, 2011 - about 15 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 | 1710986096 | NPPES |
| Wisconsin | MEDICAID | 38943200 | |
| Wisconsin | Other | 391929487018 |
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