Pankow, Nichole N
Pankow, Nichole N is an individual health care provider with primary practice located at 109 E Milwaukee St , Jefferson WI 53549-1635. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Pankow, Nichole N can be contacted via phone (920) 674-6627.Contact Information
Primary practice address
109 E Milwaukee St
Jefferson WI 53549-1635
Phone: (920) 674-6627
Fax: (920) 674-6632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4014-012 | Wisconsin |
Profile Details
| NPI number | 1497791933 |
|---|---|
| LBN Legal business name | Pankow, Nichole N |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1497791933 | NPPES |
| Wisconsin | MEDICAID | 38955900 |
Popular Providers
-
Lewis, Alan Paul
202 N Main St , Jefferson WI 53549-1149 -
Martin, Elizabeth Hay
1166 Adams Ave , Huntington WV 25704-1612 -
Lust, William J
109 E Milwaukee St , Jefferson WI 53549-1635 -
Harper, Dennis Lee
10620 Highway 12 , Orofino ID 83544-9372 -
Manolov, Manol
6905 E 96Th St Suite 600, Indianapolis IN 46250-4448 -
Wymer, Daniel L
11023 Gatewood Dr Ste 101 , Bradenton FL 34211-4945 -
Knowles, Carol Donahue
3200 Northline Ave Ste 200, Greensboro NC 27408-7616 -
Buchakjian, Tara Lynne
2 Home Rd , Hatboro PA 19040-2026