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Charles L Sivret, DC
Chiropractor in Kewaunee, Wisconsin
NPI 1154321214

Charles L Sivret is a Chiropractor based in Kewaunee, WI. Charles L Sivret practices in Kewaunee, WI and has the professional credentials of DC. The NPI Number for Charles L Sivret is 1154321214 and holds a License No. 1807-012 (Wisconsin).

The current practice location address for Charles L Sivret is 402 Ellis St, Kewaunee, WI and can be reached out via phone at 920-388-4499 and via fax at 920-388-4499.

Location: 402 Ellis St, Kewaunee, WI, 54216-1329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154321214
Provider Name
Charles L Sivret
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
402 Ellis St, Kewaunee, WI, 54216-1329
Phone Number
920-388-4499
Fax Number
920-388-4499
Provider Enumeration Date
07/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000235937 01 WI MEDICARE PTAN
38777700 05 WI
institution
Provider Business Practice Location Address Details
Address
402 Ellis St
City
Kewaunee
State
Wisconsin
Zip
54216-1329
Phone Number
920-388-4499
Fax Number
920-388-4499
person
Provider Business Mailing Address Details
Address
402 Ellis St
City
Kewaunee
State
Wisconsin
Zip
54216-1329
Phone Number
920-388-4499
Fax Number
920-388-4499
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1807-012 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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