Lundbohm, Nicholas Jay

Lundbohm, Nicholas Jay is an individual health care provider with primary practice located at N56W15560 Silver Spring Dr Ste E , Menomonee Falls WI 53051-6148. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lundbohm, Nicholas Jay can be contacted via phone (877) 442-4476.

Contact Information

Primary practice address
N56W15560 Silver Spring Dr Ste E Menomonee Falls WI 53051-6148
Phone: (877) 442-4476
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4323-012 Wisconsin

Profile Details

NPI number 1225176084
LBN Legal business name Lundbohm, Nicholas Jay
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated May 13th, 2022 - about 2 years ago

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 1225176084 NPPES
Minnesota MEDICAID 842929400
Minnesota Other 609K9LU

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