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ROBERT DAVID SELL DC
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1033219415
Individual Registrant: ROBERT DAVID SELL DC
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
216 WEST MAIN ST HORTONVILLE, WI 54944 US
Tel: 920-779-4554 Fax: 920-779-0444
Tel: 920-779-4554 Fax: 920-779-0444
Contact information for business:
PO BOX 100 HORTONVILLE, WI 54944 US
Tel: 920-779-4554 Fax: 920-779-0444
Tel: 920-779-4554 Fax: 920-779-0444
Registration Information:
NPI: 1033219415
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | WI | 2738 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 38892000 | WI | 05 |
