Nitke, Jason M

Nitke, Jason M is an individual health care provider with primary practice located at 1881 Chicago St , De Pere WI 54115-3770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nitke, Jason M can be contacted via phone (920) 403-8000.

Contact Information

Primary practice address
1881 Chicago St De Pere WI 54115-3770
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 46872 Wisconsin

Profile Details

NPI number 1629026059
LBN Legal business name Nitke, Jason M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jun 11th, 2024 - about 3 months 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 1629026059 NPPES
Wisconsin MEDICAID 43515200

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