Individual
CHRISTOPHER N SEVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
112 KNAPP ST, BOX 558, CHETEK, WI 54728
(715) 924-3510
(715) 924-1848
Mailing address
601 S 32ND AVE, WAUSAU, WI 54401-3958
(715) 848-2526
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3477-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38903800
—
WI
01
—
38993100
MEDICAID GROUP
WI
01
—
50867
SECURITY HEALTH PLAN
—
01
—
CB3715
RAILROAD MEDICARE GROUP
WI
Enumeration date
09/20/2006
Last updated
12/19/2007
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