Search › Wisconsin › 171100000X
Charles Hollis, LAC
NPI 1023761483 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4813 W National Ave
Milwaukee, WI 53214 - Phone
- (414) 502-8235
- Fax
- (414) 921-9772
- Organisation at this address
- Veteran Sanctuary Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin