Individual provider · Type 1 NPI
Nichole N. Pankow, DC
Chiropractor · Jefferson, WI
NPI number
1497791933
Active
Practice location
109 E Milwaukee St
Jefferson, WI 53549-1635
Fax (920) 674-6632
Mailing address
855 Hillside Dr
Jefferson, WI 53549-1805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4014-012 (WI) |
Chiropractor: 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.
3 other providers at this address
Other chiropractor providers in Jefferson
About NPI 1497791933
Nichole N. Pankow, DC's National Provider Identifier is 1497791933, issued on Jun 22, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Jefferson, WI. The record was last updated on Jul 9, 2007.