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BENJAMIN JOSEPH LICKTEIG
NPI 1417532540
Chiropractor in Hudson, WI

Active since March 10, 2021
2910 ENLOE ST STE 101, HUDSON, WI 54016(952) 207-2186 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2024, Mar 10, 2021 (2 updates tracked since 2021).

About Benjamin Joseph Lickteig NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN JOSEPH LICKTEIG (NPI 1417532540) is an individual chiropractor in Hudson, Wisconsin, licensed in Wisconsin (6094) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1417532540
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameBENJAMIN JOSEPH LICKTEIG
Location Address2910 ENLOE ST STE 101Hudson, WI 54016-4539
Mailing Address2910 Enloe St Ste 101Hudson, WI 54016-4539 · (715) 690-2910
Phone(952) 207-2186
Sole ProprietorNo
Enumeration DateMarch 10, 2021
Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1417532540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in WI · 6094✔ Licensed in MN · 6790
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.
2910 ENLOE ST STE 101, Hudson, WI 54016
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Lickteig's NPI number?

The NPI number for Benjamin Lickteig is 1417532540. It was assigned to this individual provider in the NPPES registry on March 10, 2021.

Where is Benjamin Lickteig located?

Benjamin Lickteig practices at 2910 Enloe St Ste 101, Hudson, WI 54016. The listed phone number is (952) 207-2186.

What is Benjamin Lickteig's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Benjamin Lickteig was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.