Draeger, Nicholas John

Draeger, Nicholas John is an individual health care provider with primary practice located at 3400 Union Ave , Sheboygan WI 53081-8426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Draeger, Nicholas John can be contacted via phone (920) 828-2700.

Contact Information

Primary practice address
3400 Union Ave Sheboygan WI 53081-8426
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 62536 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101018109 Michigan

Profile Details

NPI number 1902031909
LBN Legal business name Draeger, Nicholas John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2009
Last updated Oct 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902031909 NPPES
Wisconsin MEDICAID 100038807

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