Pomplun, Colleen
Pomplun, Colleen is an individual health care provider with primary practice located at 505 Lake Street , Green Lake WI 54941. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Pomplun, Colleen can be contacted via phone (920) 294-3130.Contact Information
Primary practice address
505 Lake Street
Green Lake WI 54941
Phone: (920) 294-3130
Fax: (855) 410-0730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3020 | Wisconsin |
Profile Details
| NPI number | 1013072750 |
|---|---|
| LBN Legal business name | Pomplun, Colleen |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Jul 11th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013072750 | NPPES |
| Wisconsin | MEDICAID | 38873800 |
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