Sandquist, Susan M

Sandquist, Susan M is an individual health care provider with primary practice located at 1202 Grand Ave , Wausau WI 54403-6690. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Sandquist, Susan M can be contacted via phone (715) 842-7711.

Contact Information

Primary practice address
1202 Grand Ave Wausau WI 54403-6690
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2567-012 Wisconsin

Profile Details

NPI number 1437255403
LBN Legal business name Sandquist, Susan M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Dec 19th, 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 1437255403 NPPES
Wisconsin MEDICAID 38846900
Wisconsin Other 39924
Wisconsin Other 38987500

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