Poland, Howard Dale

Poland, Howard Dale is an individual health care provider with primary practice located at 228 N 3Rd Ave , Wausau WI 54401-4410. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Poland, Howard Dale can be contacted via phone (715) 845-6722.

Contact Information

Primary practice address
228 N 3Rd Ave Wausau WI 54401-4410
Phone: (715) 845-6722
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1404-012 Wisconsin

Profile Details

NPI number 1508962663
LBN Legal business name Poland, Howard Dale
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Dec 18th, 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 1508962663 NPPES
Wisconsin Other 38990400 MEDICAID GROUP
Wisconsin Other P00203662 MEDICAID GROUP
Wisconsin MEDICAID 38751900 MEDICAID GROUP
Wisconsin Other 13656 MEDICAID GROUP
Wisconsin Other CB3715 MEDICAID GROUP

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