HOWARD DALE POLAND DC NPI 1508962663

NPI Information

NPI: 1508962663
Provider Name: HOWARD DALE POLAND, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
228 N 3RD AVE
WAUSAU, WI
ZIP 54401
Phone: (715) 845-6722
Get Directions

Howard Dale Poland, DC is a chiropractor in Wausau, WI. The provider is 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. Howard Dale Poland, DC NPI is 1508962663. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

228 N 3RD AVE
WAUSAU, WI
ZIP 54401-410
Phone: (715) 845-6722

The enumeration date for this NPI number is 9/16/2006 and was last updated on 12/18/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		1404-012	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	13656	OTHER		SECURITY HEALTH PLAN
2	38990400	OTHER	WISCONSIN	MEDICAID GROUP
3	P00203662	OTHER	WISCONSIN	RAILROAD MEDICARE
4	38751900	MEDICAID	WISCONSIN
5	CB3715	OTHER	WISCONSIN	RAILROAD MEDICARE GROUP
6	T63013	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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