Lickteig, Karl Albert

Lickteig, Karl Albert is an individual health care provider with primary practice located at 11649 N Port Washington Rd Suite 100, Mequon WI 53092-3460. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lickteig, Karl Albert can be contacted via phone (262) 240-2273.

Contact Information

Primary practice address
11649 N Port Washington Rd Suite 100 Mequon WI 53092-3460
Fax: (262) 240-2260
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2451-012 Wisconsin

Profile Details

NPI number 1932229226
LBN Legal business name Lickteig, Karl Albert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Dec 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932229226 NPPES
Wisconsin MEDICAID 38854100

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