Cole, Katie Lynn

Cole, Katie Lynn is an sole proprietor health care provider with primary practice located at 1020 N 12Th St , Milwaukee WI 53233-1308. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Cole, Katie Lynn can be contacted via phone (414) 219-5219.

Contact Information

Primary practice address
1020 N 12Th St Milwaukee WI 53233-1308
Fax: (414) 219-5960
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 38010309 Illinois
Chiropractic Providers / Chiropractor 111N00000X 4662-012 Wisconsin

Profile Details

NPI number 1639200181
LBN Legal business name Cole, Katie Lynn
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Nov 29th, 2021 - about 5 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 1639200181 NPPES
Illinois Other 01634950 BCBS
Illinois MEDICAID 100181020 BCBS

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