Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NR0400X | Rehabilitation Chiropractor | 2155 | WI |
N | 111NS0005X | Chiropractic Sports Physician | 2155 | WI |
NPI | 1427114172 |
---|---|
Provider Name | Dr. James Allen Ropicky |
First Address | Wales, WI 53183-9549 |
Second Address | Pewaukee, WI 53072-5402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
38843600 | (05) | WI |
T63139 | (02) | WI |