Oudenhoven, Keith J

Oudenhoven, Keith J is an individual health care provider with primary practice located at 3020 E College Ave Suite F, Appleton WI 54915-3279. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Oudenhoven, Keith J can be contacted via phone (920) 738-9996.

Contact Information

Primary practice address
3020 E College Ave Suite F Appleton WI 54915-3279
Phone: (920) 738-9996
Fax: (920) 738-0603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2420-012 Wisconsin

Profile Details

NPI number 1629013297
LBN Legal business name Oudenhoven, Keith J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Jul 8th, 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 1629013297 NPPES
Wisconsin MEDICAID 38894800
Wisconsin Other P00132309

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