Sivret, Charles L
Sivret, Charles L is an individual health care provider with primary practice located at 402 Ellis St , Kewaunee WI 54216-1329. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sivret, Charles L can be contacted via phone (920) 388-4499.Contact Information
Primary practice address
402 Ellis St
Kewaunee WI 54216-1329
Phone: (920) 388-4499
Fax: (920) 388-4499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1807-012 | Wisconsin |
Profile Details
| NPI number | 1154321214 |
|---|---|
| LBN Legal business name | Sivret, Charles L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Feb 11th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154321214 | NPPES |
| Wisconsin | Other | 000235937 | MEDICARE PTAN |
| Wisconsin | MEDICAID | 38777700 | MEDICARE PTAN |
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