Nimke, Katherine Therese
Nimke, Katherine Therese is an individual health care provider with primary practice located at 1686 Eisenhower Rd , De Pere WI 54115-8145. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nimke, Katherine Therese can be contacted via phone (920) 496-4700.Contact Information
Primary practice address
1686 Eisenhower Rd
De Pere WI 54115-8145
Phone: (920) 496-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 50820 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 54831-020 | Wisconsin |
Profile Details
| NPI number | 1528259496 |
|---|---|
| LBN Legal business name | Nimke, Katherine Therese |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Jun 28th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528259496 | NPPES |
| Minnesota | MEDICAID | 280678000 | |
| Minnesota | Other | 0130942 | |
| Minnesota | Other | 223K3FR | |
| Minnesota | Other | P00633146 |
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