Nicholas Agen is a Chiropractor based in Brookfield, WI. Nicholas Agen practices in Brookfield, WI. The NPI Number for Nicholas Agen is 1013669746 and holds a License No. 5715-12 (Wisconsin).
The current practice location address for Nicholas Agen is 17585 Golf Pkwy, Brookfield, WI and can be reached out via phone at 262-899-7158.
Location: 17585 Golf Pkwy, Brookfield, WI, 53045-2948
Provider Profile Details
NPI Number
1013669746
Provider Name
Nicholas Agen
Credential
Provider Entity Type
Individual
Gender
Male
Address
17585 Golf Pkwy, Brookfield, WI, 53045-2948
Phone Number
262-899-7158
Fax Number
Provider Enumeration Date
01/24/2022
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295378875 | 05 | WI |
Provider Business Practice Location Address Details
Address
17585 Golf Pkwy
City
State
Zip
53045-2948
Phone Number
262-899-7158
Fax Number
Provider Business Mailing Address Details
Address
17585 Golf Pkwy
City
State
Zip
53045-2948
Phone Number
262-899-7158
Fax Number
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
5715-12 (Wisconsin)
Definition
A provider qualified by 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.
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