Mikesell, Chad T

Mikesell, Chad T is an individual health care provider with primary practice located at 3601 30Th Ave Suite 103, Kenosha WI 53144-1695. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mikesell, Chad T can be contacted via phone (262) 657-7071.

Contact Information

Primary practice address
3601 30Th Ave Suite 103 Kenosha WI 53144-1695
Phone: (262) 657-7071
Fax: (262) 657-0632
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12437 Wisconsin

Profile Details

NPI number 1396186045
LBN Legal business name Mikesell, Chad T
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2013
Last updated Feb 25th, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396186045 NPPES
Wisconsin MEDICAID 1396186045

Popular Providers