Wolter, Charles Dennis

Wolter, Charles Dennis is an sole proprietor health care provider with primary practice located at 4340 Otter Lake Road , Eagle River WI 54521-1567. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wolter, Charles Dennis can be contacted via phone (715) 479-9798.

Contact Information

Primary practice address
4340 Otter Lake Road Eagle River WI 54521-1567
Phone: (715) 479-9798
Fax: (715) 477-0016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1278 Wisconsin
Chiropractic Providers / Chiropractor 111N00000X 2914 Florida

Profile Details

NPI number 1477613164
LBN Legal business name Wolter, Charles Dennis
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 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 1477613164 NPPES
Wisconsin MEDICAID 38824200

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