Wardell, Kenneth Dale
Wardell, Kenneth Dale is an individual health care provider with primary practice located at 28252 Ford Rd , Garden City MI 48135-2927. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wardell, Kenneth Dale can be contacted via phone (734) 421-4110.Contact Information
Primary practice address
28252 Ford Rd
Garden City MI 48135-2927
Phone: (734) 421-4110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 7553 | Michigan |
Profile Details
| NPI number | 1649293135 |
|---|---|
| LBN Legal business name | Wardell, Kenneth Dale |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649293135 | NPPES |
| Michigan | MEDICAID | 4310208 | |
| Michigan | Other | KW007553 |
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