Piencikowski, Connon Lee

Piencikowski, Connon Lee is an individual health care provider with primary practice located at 1700 Sand Acres Dr Ste 2A , De Pere WI 54115-7562. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Piencikowski, Connon Lee can be contacted via phone (920) 591-0141.

Contact Information

Primary practice address
1700 Sand Acres Dr Ste 2A De Pere WI 54115-7562
Phone: (920) 591-0141
Fax: (888) 267-0230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 742-039 Wisconsin
Chiropractic Providers / Chiropractor 111N00000X 4214-012 Wisconsin

Profile Details

NPI number 1053376277
LBN Legal business name Piencikowski, Connon Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jun 11th, 2020 - about 4 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 1053376277 NPPES
Wisconsin Other 4214-012 LICENSE NUMBER

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