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Dr. Nichole N Pankow, DC
Chiropractor in Jefferson, Wisconsin
NPI 1497791933

Nichole N Pankow is a Chiropractor based in Jefferson, WI. Nichole N Pankow practices in Jefferson, WI and has the professional credentials of DC. The NPI Number for Nichole N Pankow is 1497791933 and holds a License No. 4014-012 (Wisconsin).

The current practice location address for Nichole N Pankow is 109 E Milwaukee St, Jefferson, WI and can be reached out via phone at 920-674-6627 and via fax at 920-674-6632.

Location: 109 E Milwaukee St, Jefferson, WI, 53549-1805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497791933
Provider Name
Nichole N Pankow
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
109 E Milwaukee St, Jefferson, WI, 53549-1805
Phone Number
920-674-6627
Fax Number
920-674-6632
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38955900 05 WI
institution
Provider Business Practice Location Address Details
Address
109 E Milwaukee St
City
Jefferson
State
Wisconsin
Zip
53549-1635
Phone Number
920-674-6627
Fax Number
920-674-6632
person
Provider Business Mailing Address Details
Address
109 E Milwaukee St
City
Jefferson
State
Wisconsin
Zip
53549-1635
Phone Number
920-674-6627
Fax Number
920-674-6632
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4014-012 (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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