Mckitrick, Larry B

Mckitrick, Larry B is an individual health care provider with primary practice located at 201 E Anderson St , Rhinelander WI 54501-3771. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mckitrick, Larry B can be contacted via phone (715) 362-5522.

Contact Information

Primary practice address
201 E Anderson St Rhinelander WI 54501-3771
Fax: (715) 362-5591
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1279-012 Wisconsin

Profile Details

NPI number 1346203924
LBN Legal business name Mckitrick, Larry B
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Oct 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346203924 NPPES
Wisconsin MEDICAID 38816500

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