Dr. Nichole N Pankow is a Jefferson, Wisconsin based female chiropractor who is specialized as General Chiropractor. Active license number of Dr. Nichole N Pankow as General Chiropractor is 4014-012 in Wisconsin. Dr. Nichole N Pankow is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Nichole N Pankow speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Gender:
Female
Practice Address:
109 E Milwaukee St, Jefferson, Wisconsin, 53549-1635
Phone:
920-674-6627
Fax:
920-674-6632
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1497791933
NPI Enumeration Date:
22 Jun, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nichole N Pankow are as mentioned below.
License Number
Specialization
State
Status
4014-012
Chiropractor
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Nichole N Pankow such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
38955900
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
855 Hillside Dr, Jefferson, Wisconsin
Zip:
53549-1805
Phone Number:
920-674-6627
Fax Number:
920-674-6632
Patients can reach Dr. Nichole N Pankow at 109 E Milwaukee St, Jefferson, Wisconsin or can call to book an appointment on 920-674-6627. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.